| Essence Health And Urogynecology Corp. | |
|
1560 E Chevy Chase Dr Ste 450 Glendale CA 91206-4140 | |
| (818) 399-6257 | |
| Not Available |
| Full Name | Essence Health And Urogynecology Corp. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1560 E Chevy Chase Dr Ste 450, Glendale, California |
| Authorized Official Name and Position | Aldene Zeno (OWNER) |
| Authorized Official Contact | 8183996257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essence Health And Urogynecology Corp. 19300 Rinaldi St # 7219 Porter Ranch CA 91326-1651 Ph: () - | Essence Health And Urogynecology Corp. 1560 E Chevy Chase Dr Ste 450 Glendale CA 91206-4140 Ph: (818) 399-6257 |
| NPI Number | 1942081682 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 10/09/2023 |
| Medicare PECOS PAC ID | 6709233414 |
|---|---|
| Medicare Enrollment ID | O20231116002221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942081682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Aldene Olia Zeno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265708655 PECOS PAC ID: 1153644588 Enrollment ID: I20191007002742 |
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