| La Familia Medical Clinic Inc. | |
|
15243 Vanowen St Suite 107 Van Nuys CA 91405-3605 | |
| (818) 787-8473 | |
| (818) 787-8671 |
| Full Name | La Familia Medical Clinic Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 15243 Vanowen St, Van Nuys, California |
| Authorized Official Name and Position | Mehras Akhavan (OWNER) |
| Authorized Official Contact | 8187878473 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Familia Medical Clinic Inc. 15243 Vanowen St Suite 107 Van Nuys CA 91405-3605 Ph: (818) 787-8473 | La Familia Medical Clinic Inc. 15243 Vanowen St Suite 107 Van Nuys CA 91405-3605 Ph: (818) 787-8473 |
| NPI Number | 1912310566 |
|---|---|
| Provider Enumeration Date | 06/10/2014 |
| Last Update Date | 07/08/2014 |
| Medicare PECOS PAC ID | 5597080440 |
|---|---|
| Medicare Enrollment ID | O20150217001348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912310566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mehras Akhavan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497817332 PECOS PAC ID: 9436134863 Enrollment ID: I20040621001181 |
| Provider Name | Manoutcher Khalili |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1861446841 PECOS PAC ID: 1850337478 Enrollment ID: I20050706000259 |
| Provider Name | Miguel A Mejia |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1508955170 PECOS PAC ID: 9931240637 Enrollment ID: I20100104000087 |
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