| Family Care Md Group Inc | |
|
8730 Glenoaks Blvd Sun Valley CA 91352-2801 | |
| (818) 960-7171 | |
| (818) 960-7177 |
| Full Name | Family Care Md Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 8730 Glenoaks Blvd, Sun Valley, California |
| Authorized Official Name and Position | Philip Kim (PRESIDENT) |
| Authorized Official Contact | 8189607171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Md Group Inc 8730 Glenoaks Blvd Sun Valley CA 91352-2801 Ph: (818) 960-7171 | Family Care Md Group Inc 8730 Glenoaks Blvd Sun Valley CA 91352-2801 Ph: (818) 960-7171 |
| NPI Number | 1235808478 |
|---|---|
| Provider Enumeration Date | 09/10/2021 |
| Last Update Date | 09/10/2021 |
| Medicare PECOS PAC ID | 1951799022 |
|---|---|
| Medicare Enrollment ID | O20211021001773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235808478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174718134 PECOS PAC ID: 5698964906 Enrollment ID: I20110118000516 |
| Provider Name | Philip Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356781132 PECOS PAC ID: 5496054330 Enrollment ID: I20200715002512 |
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