| Jilbert Daniel Issai, A Professional Medical Corporation | |
|
10050 La Canada Way Sunland CA 91040-1619 | |
| (818) 437-1744 | |
| Not Available |
| Full Name | Jilbert Daniel Issai, A Professional Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 10050 La Canada Way, Sunland, California |
| Authorized Official Name and Position | Jilbert Daniel Issai (OWNER) |
| Authorized Official Contact | 8184371744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jilbert Daniel Issai, A Professional Medical Corporation 10050 La Canada Way Sunland CA 91040-1619 Ph: () - | Jilbert Daniel Issai, A Professional Medical Corporation 10050 La Canada Way Sunland CA 91040-1619 Ph: (818) 437-1744 |
| NPI Number | 1013336544 |
|---|---|
| Provider Enumeration Date | 04/13/2014 |
| Last Update Date | 04/13/2014 |
| Medicare PECOS PAC ID | 5496971418 |
|---|---|
| Medicare Enrollment ID | O20140729001047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013336544 | NPI | - | NPPES |
| A75925 | Other | CA | CALIFORNIA MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A75925 (California) | Primary |
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