| Frizzy Oaks Medical Group Inc | |
|
14545 Friar St Ste 217 Van Nuys CA 91411-2399 | |
| (818) 851-5531 | |
| Not Available |
| Full Name | Frizzy Oaks Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14545 Friar St Ste 217, Van Nuys, California |
| Authorized Official Name and Position | Ronna Jurow (MD) |
| Authorized Official Contact | 8053402995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frizzy Oaks Medical Group Inc 14545 Friar St Ste 217 Van Nuys CA 91411-2399 Ph: (818) 851-5531 | Frizzy Oaks Medical Group Inc 14545 Friar St Ste 217 Van Nuys CA 91411-2399 Ph: (818) 851-5531 |
| NPI Number | 1427738939 |
|---|---|
| Provider Enumeration Date | 07/19/2023 |
| Last Update Date | 07/19/2023 |
| Medicare PECOS PAC ID | 7113376112 |
|---|---|
| Medicare Enrollment ID | O20231215003399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427738939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Esmail Nadjmabadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699705400 PECOS PAC ID: 3870498082 Enrollment ID: I20031201000804 |
| Provider Name | Stephen N Pine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356352108 PECOS PAC ID: 8022055672 Enrollment ID: I20050414000739 |
| Provider Name | John P Mckenzie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366422685 PECOS PAC ID: 4486677242 Enrollment ID: I20060106000490 |
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