| Immediate Healthcare Clinic, Inc. | |
|
11507 Oxnard St # 3 North Hollywood CA 91606-4809 | |
| (323) 633-9760 | |
| Not Available |
| Full Name | Immediate Healthcare Clinic, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 11507 Oxnard St, North Hollywood, California |
| Authorized Official Name and Position | Arlene Torres Fabian (PRESIDENT) |
| Authorized Official Contact | 3236339760 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Immediate Healthcare Clinic, Inc. 11507 Oxnard St # 3 North Hollywood CA 91606-4809 Ph: (323) 633-9760 | Immediate Healthcare Clinic, Inc. 11507 Oxnard St # 3 North Hollywood CA 91606-4809 Ph: (323) 633-9760 |
| NPI Number | 1730570763 |
|---|---|
| Provider Enumeration Date | 02/12/2015 |
| Last Update Date | 02/12/2015 |
| Medicare PECOS PAC ID | 1052616232 |
|---|---|
| Medicare Enrollment ID | O20160225002025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730570763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (California) | Secondary |
| Provider Name | Jack Azad |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1841489440 PECOS PAC ID: 1456313113 Enrollment ID: I20041103001215 |
| Provider Name | Arlene Fabian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376988899 PECOS PAC ID: 5799694030 Enrollment ID: I20140604001602 |
| Provider Name | Aldrine A Adraneda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417197831 PECOS PAC ID: 9335058676 Enrollment ID: I20160219001553 |
| Provider Name | Loreta A Fabian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851718530 PECOS PAC ID: 1254651532 Enrollment ID: I20160317002090 |
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