| First Health Medical Group, Inc | |
|
5352 Laurel Canyon Blvd Ste 110 North Hollywood CA 91607-4938 | |
| (818) 206-2655 | |
| Not Available |
| Full Name | First Health Medical Group, Inc |
|---|---|
| Speciality | General Practice |
| Location | 5352 Laurel Canyon Blvd Ste 110, North Hollywood, California |
| Authorized Official Name and Position | Michael Bazel (PRESIDENT) |
| Authorized Official Contact | 8182062655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Health Medical Group, Inc 5352 Laurel Canyon Blvd Ste 110 North Hollywood CA 91607-4938 Ph: (818) 206-2655 | First Health Medical Group, Inc 5352 Laurel Canyon Blvd Ste 110 North Hollywood CA 91607-4938 Ph: (818) 206-2655 |
| NPI Number | 1609174176 |
|---|---|
| Provider Enumeration Date | 03/08/2011 |
| Last Update Date | 03/08/2011 |
| Medicare PECOS PAC ID | 4284810748 |
|---|---|
| Medicare Enrollment ID | O20110517000693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609174176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G78177 (California) | Primary |
| Provider Name | Michael Bazel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598712978 PECOS PAC ID: 8527970029 Enrollment ID: I20031103000705 |
| Provider Name | Rina Akopyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578710125 PECOS PAC ID: 4587568811 Enrollment ID: I20050707000449 |
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