George Danial D O | |
4621 Rubio Avenue Encino CA 91436 | |
(818) 981-0050 | |
(818) 907-7080 |
Full Name | George Danial D O |
---|---|
Speciality | Family Medicine |
Location | 4621 Rubio Avenue, Encino, California |
Authorized Official Name and Position | George Danial (OWNER PRESIDENT) |
Authorized Official Contact | 8189810050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
George Danial D O 4621 Rubio Avenue Encino CA 91436 Ph: (818) 981-0050 | George Danial D O 4621 Rubio Avenue Encino CA 91436 Ph: (818) 981-0050 |
NPI Number | 1528165149 |
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Provider Enumeration Date | 09/17/2006 |
Last Update Date | 06/30/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528165149 | NPI | - | NPPES |
GR0065060 | Medicaid | CA | |
P00065141 | Other | RAILROAD MEDICARE | |
P00065141 | Other | GA | UNITED HEALTHCARE |
00AX47200 | Medicaid | CA | |
20A4720 | Other | BSBC OF CALIFORNIA | |
20A4720 | Other | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A4720 (California) | Primary |
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