Integrated Allied Medical Group | |
313 E Providencia Ave Apt F Burbank CA 91502-2720 | |
(323) 528-2781 | |
Not Available |
Full Name | Integrated Allied Medical Group |
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Speciality | Family Medicine |
Location | 313 E Providencia Ave Apt F, Burbank, California |
Authorized Official Name and Position | Majalia Rivera (CEO) |
Authorized Official Contact | 3235282781 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Integrated Allied Medical Group 313 E Providencia Ave Apt F Burbank CA 91502-2720 Ph: (323) 528-2781 | Integrated Allied Medical Group 313 E Providencia Ave Apt F Burbank CA 91502-2720 Ph: (323) 528-2781 |
NPI Number | 1649970740 |
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Provider Enumeration Date | 03/07/2023 |
Last Update Date | 03/07/2023 |
Medicare PECOS PAC ID | 6204293228 |
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Medicare Enrollment ID | O20230607001430 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649970740 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jagmohan Ghotra |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689032815 PECOS PAC ID: 8325334741 Enrollment ID: I20160912001816 |
Provider Name | Alfonso C Manuel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124563358 PECOS PAC ID: 5294099818 Enrollment ID: I20180508001391 |
Provider Name | Eun K Park |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194226936 PECOS PAC ID: 5698020279 Enrollment ID: I20180622001156 |
Provider Name | Eusebio Dan P Lopez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962858704 PECOS PAC ID: 1153695663 Enrollment ID: I20181210001783 |
Provider Name | Mary Ann J Go |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881366367 PECOS PAC ID: 2860868171 Enrollment ID: I20221011002397 |
Provider Name | Katrina Joyce Pacheco Ang |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497455760 PECOS PAC ID: 7214394899 Enrollment ID: I20230613002754 |
Provider Name | Marianne G Usi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104507466 PECOS PAC ID: 2365805017 Enrollment ID: I20230828003263 |
Provider Name | Conrado A Guadiz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942937768 PECOS PAC ID: 2769846948 Enrollment ID: I20230907001538 |
Provider Name | Marian A Achenie |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366937377 PECOS PAC ID: 0042664229 Enrollment ID: I20230921001173 |
Provider Name | Rowena C Roces |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255014767 PECOS PAC ID: 4587018833 Enrollment ID: I20240119003745 |
Provider Name | Leticia C Estavillo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164731485 PECOS PAC ID: 2466996939 Enrollment ID: I20240626001688 |
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