| Kanan Health Services Inc | |
|
5847 Kanan Rd Agoura Hills CA 91301-1651 | |
| (818) 889-3070 | |
| Not Available |
| Full Name | Kanan Health Services Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5847 Kanan Rd, Agoura Hills, California |
| Authorized Official Name and Position | Anthony Cassar (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8188893070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kanan Health Services Inc 5847 Kanan Rd Agoura Hills CA 91301-1651 Ph: (818) 889-3070 | Kanan Health Services Inc 5847 Kanan Rd Agoura Hills CA 91301-1651 Ph: (818) 889-3070 |
| NPI Number | 1164298972 |
|---|---|
| Provider Enumeration Date | 12/01/2023 |
| Last Update Date | 12/01/2023 |
| Medicare PECOS PAC ID | 4183075963 |
|---|---|
| Medicare Enrollment ID | O20240105000845 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164298972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Harneet S Bath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679747760 PECOS PAC ID: 4880755941 Enrollment ID: I20081208000234 |
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