| Hayvenhurst Infectious Dis. Inc. | |
|
4054 Strawberry Pl Encino CA 91436-3826 | |
| (310) 914-9150 | |
| (310) 914-9705 |
| Full Name | Hayvenhurst Infectious Dis. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4054 Strawberry Pl, Encino, California |
| Authorized Official Name and Position | Alan Nazarian (MEDICAL DOCTOR) |
| Authorized Official Contact | 3109149150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hayvenhurst Infectious Dis. Inc. 4054 Strawberry Pl Encino CA 91436-3826 Ph: (310) 914-9150 | Hayvenhurst Infectious Dis. Inc. 4054 Strawberry Pl Encino CA 91436-3826 Ph: (310) 914-9150 |
| NPI Number | 1043236458 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0345257283 |
|---|---|
| Medicare Enrollment ID | O20060316000576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043236458 | NPI | - | NPPES |
| 00A659010 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | A65901 (California) | Primary |
| Provider Name | Alan Nazarian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831126739 PECOS PAC ID: 1153338090 Enrollment ID: I20060323000263 |
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