Healthy Way Medical Center | |
815 E Colorado St Ste 200 Glendale CA 91205-1298 | |
(818) 484-5434 | |
Not Available |
Full Name | Healthy Way Medical Center |
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Speciality | Clinic/Center |
Location | 815 E Colorado St Ste 200, Glendale, California |
Authorized Official Name and Position | Violetta Mailyan (CEO/OWNER) |
Authorized Official Contact | 8184845434 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healthy Way Medical Center Po Box 1150 Glendale CA 91209-1150 Ph: (818) 484-5434 | Healthy Way Medical Center 815 E Colorado St Ste 200 Glendale CA 91205-1298 Ph: (818) 484-5434 |
NPI Number | 1306399878 |
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Provider Enumeration Date | 08/01/2016 |
Last Update Date | 11/22/2016 |
Medicare PECOS PAC ID | 2769779636 |
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Medicare Enrollment ID | O20160920001902 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306399878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 20A13859 (California) | Primary |
Provider Name | Violetta Violetta Mailyan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679959845 PECOS PAC ID: 3678860541 Enrollment ID: I20161115001420 |
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