| Ileana Pat Inc | |
|
19950 Rinaldi St Ste 101d Porter Ranch CA 91326-4141 | |
| (818) 497-7857 | |
| (818) 350-0555 |
| Full Name | Ileana Pat Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 19950 Rinaldi St Ste 101d, Porter Ranch, California |
| Authorized Official Name and Position | Ileana Pat (CEO) |
| Authorized Official Contact | 8184977857 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ileana Pat Inc 6701 Eton Ave Apt 519 Canoga Park CA 91303-4067 Ph: (818) 497-7857 | Ileana Pat Inc 19950 Rinaldi St Ste 101d Porter Ranch CA 91326-4141 Ph: (818) 497-7857 |
| NPI Number | 1578079117 |
|---|---|
| Provider Enumeration Date | 12/19/2017 |
| Last Update Date | 12/19/2017 |
| Medicare PECOS PAC ID | 7214273051 |
|---|---|
| Medicare Enrollment ID | O20190115002425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578079117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | A69940 (California) | Primary |
| Provider Name | Ileana Pat |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598775538 PECOS PAC ID: 7618064312 Enrollment ID: I20150422001863 |
Nana Barseghian Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11854 Eddleston Dr, Porter Ranch, CA 91326 Phone: 702-278-7851 |