| Mark Enterprises Md Inc | |
|
14857 Roscoe Blvd Panorama City CA 91402-4617 | |
| (818) 667-6488 | |
| Not Available |
| Full Name | Mark Enterprises Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14857 Roscoe Blvd, Panorama City, California |
| Authorized Official Name and Position | Mark Gobrial (PRESIDENT) |
| Authorized Official Contact | 8186676488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Enterprises Md Inc 8834 Reseda Blvd # 2052 Northridge CA 91324-4039 Ph: (818) 667-6488 | Mark Enterprises Md Inc 14857 Roscoe Blvd Panorama City CA 91402-4617 Ph: (818) 667-6488 |
| NPI Number | 1851124663 |
|---|---|
| Provider Enumeration Date | 08/26/2024 |
| Last Update Date | 08/26/2024 |
| Medicare PECOS PAC ID | 0143761783 |
|---|---|
| Medicare Enrollment ID | O20240923001540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851124663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark N Gobrial |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437577343 PECOS PAC ID: 5395017875 Enrollment ID: I20170817002825 |
| Provider Name | Arin V Abramian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487033213 PECOS PAC ID: 5991928939 Enrollment ID: I20171013002304 |
| Provider Name | Retzel Naron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437627742 PECOS PAC ID: 2264770643 Enrollment ID: I20190208003107 |
| Provider Name | Hilary Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861131971 PECOS PAC ID: 0941673503 Enrollment ID: I20230301000997 |
| Provider Name | Michael Sinfuego |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174235451 PECOS PAC ID: 9537515093 Enrollment ID: I20231019003709 |
| Provider Name | Anthony Moradian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386350775 PECOS PAC ID: 4183065915 Enrollment ID: I20240510002750 |
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