| Midvalley Medical Center Inc. | |
|
14550 Archwood St # 106 Van Nuys CA 91405-4604 | |
| (818) 951-5540 | |
| (818) 851-5544 |
| Full Name | Midvalley Medical Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 14550 Archwood St # 106, Van Nuys, California |
| Authorized Official Name and Position | Elsagav Shaham (MD) |
| Authorized Official Contact | 8188515540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midvalley Medical Center Inc. 14550 Archwood St # 106 Van Nuys CA 91405-4604 Ph: (818) 951-5540 | Midvalley Medical Center Inc. 14550 Archwood St # 106 Van Nuys CA 91405-4604 Ph: (818) 951-5540 |
| NPI Number | 1821734732 |
|---|---|
| Provider Enumeration Date | 05/12/2022 |
| Last Update Date | 05/12/2022 |
| Medicare PECOS PAC ID | 5597146506 |
|---|---|
| Medicare Enrollment ID | O20220722000739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821734732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Douglas M Cochrane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417991811 PECOS PAC ID: 1759294374 Enrollment ID: I20031110000734 |
| Provider Name | Ronna Jurow |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366498917 PECOS PAC ID: 5698787067 Enrollment ID: I20060629000273 |
| Provider Name | Antuan Kiley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619140050 PECOS PAC ID: 4880798636 Enrollment ID: I20090512000450 |
| Provider Name | Elsagav S Shaham |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1386636611 PECOS PAC ID: 4183716335 Enrollment ID: I20170125003004 |
Max M Ghannadi Md Medical Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14103 Victory Blvd, Suite 7, Van Nuys, CA 91401 Phone: 818-994-0000 Fax: 818-988-2949 | |
Philip H. Lee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7136 Haskell Ave Ste 205, Van Nuys, CA 91406 Phone: 818-908-4086 | |
Fmc 26, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14547 Victory Blvd, Van Nuys, CA 91411 Phone: 818-997-3232 Fax: 818-997-7750 | |
Best Choice Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15243 Vanowen St Ste 403, Van Nuys, CA 91405 Phone: 818-836-0608 | |
Midvalley Comprehensive Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7515 Van Nuys Blvd, Van Nuys, CA 91405 Phone: 818-947-4026 | |
Apelian Medical Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14624 Sherman Way, Ste 603, Van Nuys, CA 91405 Phone: 818-781-3110 Fax: 818-781-3862 | |
Ril Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14545 Friar St Unit 113, Van Nuys, CA 91411 Phone: 310-780-8989 Fax: 310-289-8198 |