| Mobile Physicians Comfort Care, Inc - Apmc | |
|
11905 Riverside Dr Valley Village CA 91607-3724 | |
| (213) 570-2025 | |
| Not Available |
| Full Name | Mobile Physicians Comfort Care, Inc - Apmc |
|---|---|
| Speciality | General Practice |
| Location | 11905 Riverside Dr, Valley Village, California |
| Authorized Official Name and Position | Omowunmi Balogun (ADMINISTRATOR) |
| Authorized Official Contact | 2135702025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Physicians Comfort Care, Inc - Apmc 11905 Riverside Dr Valley Village CA 91607-3724 Ph: () - | Mobile Physicians Comfort Care, Inc - Apmc 11905 Riverside Dr Valley Village CA 91607-3724 Ph: (213) 570-2025 |
| NPI Number | 1386428126 |
|---|---|
| Provider Enumeration Date | 08/22/2023 |
| Last Update Date | 08/23/2023 |
| Medicare PECOS PAC ID | 3072962539 |
|---|---|
| Medicare Enrollment ID | O20231208001161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386428126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Ronald K Nudelman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477647683 PECOS PAC ID: 2567368582 Enrollment ID: I20031210000755 |
| Provider Name | Omowunmi Balogun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811369424 PECOS PAC ID: 2860789278 Enrollment ID: I20160929001521 |
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