Healthy Life Medical Care Inc | |
7537 Laurel Canyon Blvd Unit B North Hollywood CA 91605-3149 | |
(818) 796-5551 | |
(818) 747-2366 |
Full Name | Healthy Life Medical Care Inc |
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Speciality | Family Medicine |
Location | 7537 Laurel Canyon Blvd Unit B, North Hollywood, California |
Authorized Official Name and Position | Michael Lepera (MEDICAL DIRECTOR/ CEO) |
Authorized Official Contact | 9734184887 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healthy Life Medical Care Inc 7537 Laurel Canyon Blvd Unit B North Hollywood CA 91605-3149 Ph: (818) 796-5551 | Healthy Life Medical Care Inc 7537 Laurel Canyon Blvd Unit B North Hollywood CA 91605-3149 Ph: (818) 796-5551 |
NPI Number | 1164130068 |
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Provider Enumeration Date | 11/09/2022 |
Last Update Date | 11/09/2022 |
Medicare PECOS PAC ID | 5597135558 |
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Medicare Enrollment ID | O20230109000962 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164130068 | NPI | - | NPPES |
C55520 | Other | CA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
Provider Name | Ali Anari |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1912252743 PECOS PAC ID: 0345548780 Enrollment ID: I20160418002010 |
Provider Name | Michael Salvatore Lepera |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1205008588 PECOS PAC ID: 3779733449 Enrollment ID: I20221024002740 |
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