| Montecristo Medical Pc | |
|
14649 Victory Blvd Ste 20 Van Nuys CA 91411 | |
| (818) 786-8396 | |
| (818) 901-7128 |
| Full Name | Montecristo Medical Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 14649 Victory Blvd Ste 20, Van Nuys, California |
| Authorized Official Name and Position | Anita Emperatriz Gonzalez (PRESIDENT) |
| Authorized Official Contact | 8185686923 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montecristo Medical Pc 14649 Victory Blvd Ste 20 Van Nuys CA 91411-4101 Ph: (818) 786-8396 | Montecristo Medical Pc 14649 Victory Blvd Ste 20 Van Nuys CA 91411 Ph: (818) 786-8396 |
| NPI Number | 1699268631 |
|---|---|
| Provider Enumeration Date | 06/13/2018 |
| Last Update Date | 10/23/2019 |
| Medicare PECOS PAC ID | 4082963772 |
|---|---|
| Medicare Enrollment ID | O20180813003328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699268631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A100277 (California) | Primary |
| Provider Name | Anita Emperatriz Gonzalez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518161629 PECOS PAC ID: 9032355169 Enrollment ID: I20130416000573 |
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 |