| Glenoaks Medical Center, Inc. | |
|
1911 W Glenoaks Blvd Ste B Glendale CA 91201-4746 | |
| (818) 843-6640 | |
| (818) 843-0347 |
| Full Name | Glenoaks Medical Center, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1911 W Glenoaks Blvd Ste B, Glendale, California |
| Authorized Official Name and Position | Laila Hanna (PRESIDENT) |
| Authorized Official Contact | 8188436640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenoaks Medical Center, Inc. 1911 W Glenoaks Blvd Ste B Glendale CA 91201-4746 Ph: (818) 843-6640 | Glenoaks Medical Center, Inc. 1911 W Glenoaks Blvd Ste B Glendale CA 91201-4746 Ph: (818) 843-6640 |
| NPI Number | 1760526289 |
|---|---|
| Provider Enumeration Date | 02/17/2007 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 0042249542 |
|---|---|
| Medicare Enrollment ID | O20050804001054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760526289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A52175 (California) | Primary |
| Provider Name | Laila Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942348255 PECOS PAC ID: 8022150150 Enrollment ID: I20110110000619 |
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