| Giselle Namazie Md A Medical Corporation | |
|
16661 Ventura Blvd Ste 226 Encino CA 91436-1947 | |
| (818) 796-2070 | |
| (818) 986-5503 |
| Full Name | Giselle Namazie Md A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 16661 Ventura Blvd Ste 226, Encino, California |
| Authorized Official Name and Position | Giselle Cabello Namazie (CEO) |
| Authorized Official Contact | 8183430559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Giselle Namazie Md A Medical Corporation 16661 Ventura Blvd Ste 226 Encino CA 91436-1947 Ph: (818) 796-2070 | Giselle Namazie Md A Medical Corporation 16661 Ventura Blvd Ste 226 Encino CA 91436-1947 Ph: (818) 796-2070 |
| NPI Number | 1114643087 |
|---|---|
| Provider Enumeration Date | 10/12/2022 |
| Last Update Date | 10/12/2022 |
| Medicare PECOS PAC ID | 9133595580 |
|---|---|
| Medicare Enrollment ID | O20221026002016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114643087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Giselle C Namazie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982684031 PECOS PAC ID: 6002865482 Enrollment ID: I20050113000222 |
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