| Epic Aesthetic Medical Institute Inc. | |
|
11349 Saticoy St Sun Valley CA 91352-4700 | |
| (818) 982-5750 | |
| (818) 982-9146 |
| Full Name | Epic Aesthetic Medical Institute Inc. |
|---|---|
| Speciality | General Practice |
| Location | 11349 Saticoy St, Sun Valley, California |
| Authorized Official Name and Position | Jasmin Javaherian (OWNER) |
| Authorized Official Contact | 8185013366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Epic Aesthetic Medical Institute Inc. 16661 Ventura Blvd Suite 815 Encino CA 91436-1914 Ph: (818) 501-3366 | Epic Aesthetic Medical Institute Inc. 11349 Saticoy St Sun Valley CA 91352-4700 Ph: (818) 982-5750 |
| NPI Number | 1962702167 |
|---|---|
| Provider Enumeration Date | 10/22/2010 |
| Last Update Date | 05/16/2014 |
| Medicare PECOS PAC ID | 3779706965 |
|---|---|
| Medicare Enrollment ID | O20140515000430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962702167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 20A8083 (California) | Primary |
| Provider Name | Jasmin Javaherian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447294715 PECOS PAC ID: 6103850953 Enrollment ID: I20050921001057 |
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