| Intensive Care Medical Group Inc | |
|
18300 Roscoe Blvd Northridge CA 91325-4105 | |
| (818) 885-5440 | |
| (818) 885-5497 |
| Full Name | Intensive Care Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18300 Roscoe Blvd, Northridge, California |
| Authorized Official Name and Position | Nariman Saddad (PRESIDENT/CEO) |
| Authorized Official Contact | 8188855440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intensive Care Medical Group Inc Po Box 11307 San Bernardino CA 92423-1307 Ph: (818) 885-5440 | Intensive Care Medical Group Inc 18300 Roscoe Blvd Northridge CA 91325-4105 Ph: (818) 885-5440 |
| NPI Number | 1902178122 |
|---|---|
| Provider Enumeration Date | 02/03/2012 |
| Last Update Date | 03/20/2012 |
| Medicare PECOS PAC ID | 7012170145 |
|---|---|
| Medicare Enrollment ID | O20120529000475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902178122 | NPI | - | NPPES |
| Provider Name | Seth Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225050214 PECOS PAC ID: 2365428059 Enrollment ID: I20040624001195 |
| Provider Name | Gary K Kong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740388891 PECOS PAC ID: 4688630171 Enrollment ID: I20041207000237 |
| Provider Name | Ravinder Singh Bajwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699849489 PECOS PAC ID: 2163445156 Enrollment ID: I20060104001024 |
| Provider Name | Alex Balekian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205912656 PECOS PAC ID: 8325075229 Enrollment ID: I20061221000154 |
| Provider Name | Mehrnaz Hadian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639113491 PECOS PAC ID: 3577568955 Enrollment ID: I20070813000789 |
| Provider Name | Imran Sharief |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174694426 PECOS PAC ID: 5890762553 Enrollment ID: I20080226000701 |
| Provider Name | Nariman Saddad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588748180 PECOS PAC ID: 8729148226 Enrollment ID: I20081113000287 |
| Provider Name | Hari R Reddy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184828527 PECOS PAC ID: 5092839233 Enrollment ID: I20100825000564 |
| Provider Name | Margarita Bass |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194929356 PECOS PAC ID: 9032307228 Enrollment ID: I20110104000182 |
| Provider Name | Hamid Reza Nasseri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922298371 PECOS PAC ID: 1052598380 Enrollment ID: I20110614000084 |
| Provider Name | Babak Eshaghian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861716318 PECOS PAC ID: 8729255823 Enrollment ID: I20120112000370 |
| Provider Name | Irfan A Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538370861 PECOS PAC ID: 6002916368 Enrollment ID: I20130128000199 |
| Provider Name | Ali Atabaki |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619105426 PECOS PAC ID: 7517271257 Enrollment ID: I20151001003152 |
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