| Mercy Medical Group Of Specialists | |
|
421 E Angeleno Ave Ste 102 Burbank CA 91501-2286 | |
| (818) 845-6800 | |
| (818) 843-7871 |
| Full Name | Mercy Medical Group Of Specialists |
|---|---|
| Speciality | Family Medicine |
| Location | 421 E Angeleno Ave Ste 102, Burbank, California |
| Authorized Official Name and Position | Fakhriran Ghahari (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8188456800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Medical Group Of Specialists 421 E Angeleno Ave Ste 102 Burbank CA 91501-2286 Ph: (818) 845-6800 | Mercy Medical Group Of Specialists 421 E Angeleno Ave Ste 102 Burbank CA 91501-2286 Ph: (818) 845-6800 |
| NPI Number | 1700898269 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 09/10/2014 |
| Medicare PECOS PAC ID | 5193753754 |
|---|---|
| Medicare Enrollment ID | O20050803001061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700898269 | NPI | - | NPPES |
| 1700898269 | Other | CA | NPI |
| Provider Name | Arman Ossia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811151681 PECOS PAC ID: 6507925955 Enrollment ID: I20081030000450 |
| Provider Name | Philip Lee |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1992981161 PECOS PAC ID: 7113086760 Enrollment ID: I20081111000564 |
| Provider Name | Fakhriran Ghahari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639183569 PECOS PAC ID: 6901834563 Enrollment ID: I20090730000145 |
| Provider Name | Po Long Lew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235145350 PECOS PAC ID: 5890810402 Enrollment ID: I20100923000814 |
| Provider Name | Chester V Litvin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790834877 PECOS PAC ID: 5496949091 Enrollment ID: I20101027001272 |
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