| Eisenberg Village Clinic | |
|
18855 Victory Blvd Reseda CA 91335 | |
| (818) 774-3354 | |
| (818) 757-4401 |
| Full Name | Eisenberg Village Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 18855 Victory Blvd, Reseda, California |
| Authorized Official Name and Position | Nancy Autolino (DIRECTOR OF AR) |
| Authorized Official Contact | 8187574447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eisenberg Village Clinic 7150 Tampa Ave Attn. Fiscal Dept. Reseda CA 91335-3700 Ph: (818) 774-3000 | Eisenberg Village Clinic 18855 Victory Blvd Reseda CA 91335 Ph: (818) 774-3354 |
| NPI Number | 1831264092 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 07/02/2018 |
| Medicare PECOS PAC ID | 2062321151 |
|---|---|
| Medicare Enrollment ID | O20040224001368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831264092 | NPI | - | NPPES |
| CMM70641F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 960000928 (California) | Primary |
| Provider Name | Alina C Lopo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629073044 PECOS PAC ID: 4183619430 Enrollment ID: I20051103001087 |
| Provider Name | Hangnga Vu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972601037 PECOS PAC ID: 9335156454 Enrollment ID: I20060315000300 |
| Provider Name | Shahin Delkhah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265477749 PECOS PAC ID: 5698788156 Enrollment ID: I20060728000397 |
| Provider Name | Darla R Oak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891868337 PECOS PAC ID: 6103925581 Enrollment ID: I20070626000401 |
| Provider Name | Daniel R Spurgeon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396936282 PECOS PAC ID: 7416019658 Enrollment ID: I20081222000359 |
| Provider Name | Anne M Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235360587 PECOS PAC ID: 7416091236 Enrollment ID: I20100217000681 |
| Provider Name | Tammi L Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215256011 PECOS PAC ID: 0345432001 Enrollment ID: I20101013000482 |
| Provider Name | Doreen L Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881761435 PECOS PAC ID: 6800078346 Enrollment ID: I20110304000616 |
| Provider Name | Ann C Keren-zvi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902979552 PECOS PAC ID: 2264615285 Enrollment ID: I20110328000793 |
| Provider Name | Rick Smith |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1932130861 PECOS PAC ID: 2668420670 Enrollment ID: I20110406000761 |
| Provider Name | Elizabeth S Yung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679917660 PECOS PAC ID: 0042243412 Enrollment ID: I20130628000280 |
| Provider Name | Mairead J Torsney-weir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669607511 PECOS PAC ID: 7719142868 Enrollment ID: I20131028000718 |
| Provider Name | Noachim S Marco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366848335 PECOS PAC ID: 4981928876 Enrollment ID: I20150126000360 |
| Provider Name | Aunna Pourang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225340268 PECOS PAC ID: 7719124163 Enrollment ID: I20150306000027 |
| Provider Name | Therese Marie G Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992980106 PECOS PAC ID: 6709103591 Enrollment ID: I20150314000372 |
| Provider Name | Rina Iofel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841339165 PECOS PAC ID: 2365672888 Enrollment ID: I20151130002165 |
| Provider Name | Elly Hann |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1649721150 PECOS PAC ID: 9234418054 Enrollment ID: I20170425001987 |
| Provider Name | Eti Nodel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225482995 PECOS PAC ID: 2860767423 Enrollment ID: I20171006001639 |
| Provider Name | Michelle Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548503154 PECOS PAC ID: 6608171012 Enrollment ID: I20171026001414 |
| Provider Name | Ilana Solomon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235517665 PECOS PAC ID: 5698010924 Enrollment ID: I20181214001358 |
| Provider Name | Eliza T Yaccobe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487943551 PECOS PAC ID: 0648517771 Enrollment ID: I20190129000464 |
| Provider Name | Ani Sinanyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124533211 PECOS PAC ID: 1759617541 Enrollment ID: I20200321000513 |
| Provider Name | Sheldon S Ball |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689646275 PECOS PAC ID: 6002248911 Enrollment ID: I20200417001894 |
| Provider Name | Oren Simantov Raphael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255726485 PECOS PAC ID: 8123405198 Enrollment ID: I20220512000748 |
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Cisco Medical Group - Reseda Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18518 Sherman Way, Reseda, CA 91335 Phone: 818-757-0954 Fax: 818-757-0963 | |
Higher Doctor's Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19231 Sherman Way Unit 23, Reseda, CA 91335 Phone: 818-220-4898 | |
Rst Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18040 Sherman Way Ste 210, Reseda, CA 91335 Phone: 818-796-2920 | |
Med Nation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7012 Reseda Blvd., Suite A, Reseda, CA 91335 Phone: 818-776-1171 Fax: 818-776-1191 | |
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Avicenna Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18445 Vanowen St, Reseda, CA 91335 Phone: 818-708-8484 |