| Kelevate Life Pc | |
|
7901 Santa Monica Blvd Ste 209 West Hollywood CA 90046-5180 | |
| (323) 650-9883 | |
| (323) 402-5841 |
| Full Name | Kelevate Life Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 7901 Santa Monica Blvd Ste 209, West Hollywood, California |
| Authorized Official Name and Position | Sirak Darbinian (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 3236509883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelevate Life Pc 7901 Santa Monica Blvd Ste 209 West Hollywood CA 90046-5180 Ph: (323) 650-9883 | Kelevate Life Pc 7901 Santa Monica Blvd Ste 209 West Hollywood CA 90046-5180 Ph: (323) 650-9883 |
| NPI Number | 1295570554 |
|---|---|
| Provider Enumeration Date | 06/28/2024 |
| Last Update Date | 06/28/2024 |
| Medicare PECOS PAC ID | 0547707127 |
|---|---|
| Medicare Enrollment ID | O20240731002761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295570554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Sirak Darbinian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508055039 PECOS PAC ID: 9931362050 Enrollment ID: I20120529000364 |
| Provider Name | Kristen M Nelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740624105 PECOS PAC ID: 6204136765 Enrollment ID: I20180117001464 |
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