| Jm Peric Inc | |
|
2701 W Alameda Ave Ste 202 Burbank CA 91505-4406 | |
| (818) 570-0542 | |
| (818) 558-1156 |
| Full Name | Jm Peric Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2701 W Alameda Ave Ste 202, Burbank, California |
| Authorized Official Name and Position | John M Peric (OWNER) |
| Authorized Official Contact | 8189847055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jm Peric Inc 2701 W Alameda Ave Ste 202 Burbank CA 91505-4406 Ph: (818) 570-0542 | Jm Peric Inc 2701 W Alameda Ave Ste 202 Burbank CA 91505-4406 Ph: (818) 570-0542 |
| NPI Number | 1891376406 |
|---|---|
| Provider Enumeration Date | 04/15/2021 |
| Last Update Date | 04/15/2021 |
| Medicare PECOS PAC ID | 3274942412 |
|---|---|
| Medicare Enrollment ID | O20210429001481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891376406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John M Peric |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285664664 PECOS PAC ID: 9638070352 Enrollment ID: I20040115001187 |
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