| Innovative Medical Solutions Inc A Medical Group | |
|
14860 Roscoe Blvd Ste 200 Panorama City CA 91402-4683 | |
| (310) 553-5203 | |
| Not Available |
| Full Name | Innovative Medical Solutions Inc A Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 14860 Roscoe Blvd Ste 200, Panorama City, California |
| Authorized Official Name and Position | Glenn A Marshak (OWNER) |
| Authorized Official Contact | 3105535203 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Medical Solutions Inc A Medical Group Po Box 15655 Beverly Hills CA 90209-1655 Ph: (310) 553-5203 | Innovative Medical Solutions Inc A Medical Group 14860 Roscoe Blvd Ste 200 Panorama City CA 91402-4683 Ph: (310) 553-5203 |
| NPI Number | 1972624955 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 09/18/2024 |
| Medicare PECOS PAC ID | 5294783080 |
|---|---|
| Medicare Enrollment ID | O20050107000871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972624955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | G78454 (California) | Primary |
| Provider Name | Neil D Katchman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053366047 PECOS PAC ID: 1153399019 Enrollment ID: I20040920000520 |
| Provider Name | Gabriela Valeria Obrocea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396766580 PECOS PAC ID: 2466418017 Enrollment ID: I20041206000270 |
| Provider Name | Glenn A Marshak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104890029 PECOS PAC ID: 9739090200 Enrollment ID: I20050606000195 |
| Provider Name | Conrado C Sevilla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902868540 PECOS PAC ID: 0749210003 Enrollment ID: I20050816000895 |
| Provider Name | Michael Lee |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1730124793 PECOS PAC ID: 0143233312 Enrollment ID: I20060711000413 |
| Provider Name | Josef Lobel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295769230 PECOS PAC ID: 5092711291 Enrollment ID: I20061011000447 |
| Provider Name | Liviu A Chindris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730156472 PECOS PAC ID: 4789585464 Enrollment ID: I20080716000423 |
| Provider Name | Benjamin K Woo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184811952 PECOS PAC ID: 9537222328 Enrollment ID: I20090105000394 |
| Provider Name | Muhammad J Memon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689744120 PECOS PAC ID: 6305980335 Enrollment ID: I20100215000403 |
| Provider Name | Ajmal Mohammad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700017712 PECOS PAC ID: 2365570504 Enrollment ID: I20100510000669 |
| Provider Name | James M Burrows |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790872281 PECOS PAC ID: 2567515489 Enrollment ID: I20101117001546 |
| Provider Name | Herbert Marshak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235232802 PECOS PAC ID: 0547456915 Enrollment ID: I20101124000360 |
| Provider Name | David B Kagan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992965768 PECOS PAC ID: 7517154792 Enrollment ID: I20101214000883 |
| Provider Name | Zainab A Mahmoud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457547697 PECOS PAC ID: 2860676129 Enrollment ID: I20110411000583 |
| Provider Name | Parastou Shilian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376785642 PECOS PAC ID: 1658543442 Enrollment ID: I20111021000211 |
| Provider Name | Youssef S Tanagho |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003029372 PECOS PAC ID: 3577731264 Enrollment ID: I20131111000729 |
| Provider Name | Lawrence R Rouben |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427003003 PECOS PAC ID: 0446152490 Enrollment ID: I20150221000315 |
| Provider Name | Aaron Siani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831535053 PECOS PAC ID: 6103124581 Enrollment ID: I20160419000703 |
| Provider Name | Parastou Farhadian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538496419 PECOS PAC ID: 8224323621 Enrollment ID: I20160824001987 |
| Provider Name | Layli Jamali |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598059644 PECOS PAC ID: 8123266046 Enrollment ID: I20161013001222 |
| Provider Name | Francis O Okpan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891146767 PECOS PAC ID: 9335425925 Enrollment ID: I20170413002684 |
| Provider Name | Dillys K Owusu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396124533 PECOS PAC ID: 8123393089 Enrollment ID: I20171004000037 |
| Provider Name | Bishoy G Kamel |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1992169643 PECOS PAC ID: 4981949211 Enrollment ID: I20181214001280 |
| Provider Name | Jason Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487188629 PECOS PAC ID: 3870838147 Enrollment ID: I20181214002823 |
| Provider Name | Michael A H Ogata |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285160903 PECOS PAC ID: 6507101342 Enrollment ID: I20181221002222 |
| Provider Name | Dennis Stolpner |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497018782 PECOS PAC ID: 7416299409 Enrollment ID: I20190423000612 |
| Provider Name | Pedram Kohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710392840 PECOS PAC ID: 4587997309 Enrollment ID: I20190611001642 |
| Provider Name | Nicole Comfort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861978900 PECOS PAC ID: 8527491281 Enrollment ID: I20191210003501 |
| Provider Name | Mohammad Ahraz Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801245063 PECOS PAC ID: 9335574953 Enrollment ID: I20200108001965 |
| Provider Name | Heidi Pang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790213494 PECOS PAC ID: 7214358621 Enrollment ID: I20200610001296 |
| Provider Name | Ryan Mark Sherick |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720518202 PECOS PAC ID: 7517380017 Enrollment ID: I20200630002424 |
| Provider Name | Nadiya Ginzburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710419262 PECOS PAC ID: 9436572419 Enrollment ID: I20200709000956 |
| Provider Name | Alexander Ghasem |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811315641 PECOS PAC ID: 6204164809 Enrollment ID: I20200831002411 |
| Provider Name | Daniel S Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841724846 PECOS PAC ID: 3870864853 Enrollment ID: I20201209000753 |
| Provider Name | Eugene J Pahk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104350271 PECOS PAC ID: 3274870712 Enrollment ID: I20210520001873 |
| Provider Name | Benjamin Rostami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659830545 PECOS PAC ID: 0941549588 Enrollment ID: I20210818002327 |
| Provider Name | Johnpaul Singh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982087847 PECOS PAC ID: 8325396195 Enrollment ID: I20210824002739 |
| Provider Name | Amy Bansal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437569613 PECOS PAC ID: 4789012550 Enrollment ID: I20210831003301 |
| Provider Name | Pranit Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164839775 PECOS PAC ID: 6204108053 Enrollment ID: I20220705001471 |
| Provider Name | Philip E Korsun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053872309 PECOS PAC ID: 8820478977 Enrollment ID: I20220706003843 |
| Provider Name | Wesley Ghasem |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083068936 PECOS PAC ID: 5799165726 Enrollment ID: I20220707002321 |
| Provider Name | Robert Meyerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629084983 PECOS PAC ID: 9234228354 Enrollment ID: I20220809002812 |
| Provider Name | Ariel Vaughn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740740877 PECOS PAC ID: 3577894047 Enrollment ID: I20221223000370 |
| Provider Name | Jeffrey L Halperin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841752649 PECOS PAC ID: 6901238435 Enrollment ID: I20230124002682 |
| Provider Name | Delali Aku Manah Ladzekpo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235657354 PECOS PAC ID: 9436524667 Enrollment ID: I20230331000848 |
| Provider Name | Nora L Bedrossian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649774175 PECOS PAC ID: 5991037491 Enrollment ID: I20230620001847 |
| Provider Name | Andrea Ayala Larco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811360811 PECOS PAC ID: 9335507045 Enrollment ID: I20230627002754 |
| Provider Name | Rana Taherian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104272509 PECOS PAC ID: 9739549262 Enrollment ID: I20230717000478 |
| Provider Name | Jose Rodrigo Gonzalez-correa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598360794 PECOS PAC ID: 5496119323 Enrollment ID: I20230912000607 |
| Provider Name | Arash Karimi Afshar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538778261 PECOS PAC ID: 3274987102 Enrollment ID: I20230927000801 |
| Provider Name | Armita Sadeghi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235665480 PECOS PAC ID: 5294111514 Enrollment ID: I20240515004273 |
Panorama Professional Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9561 Van Nuys Blvd, Panorama City, CA 91402 Phone: 818-892-4301 Fax: 818-891-7996 | |
Santo Nino Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14427 Chase St Ste 100, Panorama City, CA 91402 Phone: 818-830-7751 Fax: 818-891-7892 | |
Valley View Family Medical Clinic,inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14400 Roscoe Blvd Ste B, Panorama City, CA 91402 Phone: 818-830-6888 Fax: 818-830-6891 | |
Mission City Community Network,inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8771 Van Nuys Blvd, Panorama City, CA 91402 Phone: 818-895-3100 Fax: 818-893-9464 | |
Accretive Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14860 Roscoe Blvd Ste 200, Panorama City, CA 91402 Phone: 310-871-8651 | |
Cyrus Lavian Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15310 Roscoe Blvd, Panorama City, CA 91402 Phone: 818-830-9999 | |
Priority Care Medical Group-mobile Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8727 Van Nuys Blvd, Panorama City, CA 91402 Phone: 818-812-5410 |