| Rachman Medical Group | |
|
7601 Canby Ave Ste 7 Reseda CA 91335-2974 | |
| (818) 757-1919 | |
| (818) 757-3134 |
| Full Name | Rachman Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 7601 Canby Ave Ste 7, Reseda, California |
| Authorized Official Name and Position | Ilya Rachman (PRESIDENT) |
| Authorized Official Contact | 8187571919 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachman Medical Group 7601 Canby Ave Ste 7 Reseda CA 91335-2974 Ph: (818) 757-1919 | Rachman Medical Group 7601 Canby Ave Ste 7 Reseda CA 91335-2974 Ph: (818) 757-1919 |
| NPI Number | 1538487475 |
|---|---|
| Provider Enumeration Date | 05/15/2010 |
| Last Update Date | 07/09/2020 |
| Medicare PECOS PAC ID | 8628056728 |
|---|---|
| Medicare Enrollment ID | O20100924000926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538487475 | NPI | - | NPPES |
| W17349 | Other | CA | GROUP MEDICARE IDENTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ilya M Rachman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255463204 PECOS PAC ID: 0446230270 Enrollment ID: I20040722000828 |
| Provider Name | Dennis Stolpner |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497018782 PECOS PAC ID: 7416299409 Enrollment ID: I20190423000612 |
| Provider Name | Michael Sheinin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023467214 PECOS PAC ID: 8022302538 Enrollment ID: I20190722002557 |
| Provider Name | Anna Rachman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003458381 PECOS PAC ID: 6103259346 Enrollment ID: I20191203000167 |
| Provider Name | Alla Maksimova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912462961 PECOS PAC ID: 4981067279 Enrollment ID: I20230905001907 |
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