| Mqm Medical Group Inc | |
|
12826 Victory Blvd Ste E N Hollywood CA 91606-3065 | |
| (818) 583-0055 | |
| (818) 583-0054 |
| Full Name | Mqm Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12826 Victory Blvd Ste E, N Hollywood, California |
| Authorized Official Name and Position | Mark Bernardi (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8589979105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mqm Medical Group Inc 5682 Dawn Falls St Las Vegas NV 89148-7650 Ph: (858) 997-9105 | Mqm Medical Group Inc 12826 Victory Blvd Ste E N Hollywood CA 91606-3065 Ph: (818) 583-0055 |
| NPI Number | 1174252951 |
|---|---|
| Provider Enumeration Date | 06/07/2022 |
| Last Update Date | 06/09/2022 |
| Medicare PECOS PAC ID | 0648654343 |
|---|---|
| Medicare Enrollment ID | O20220830001360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174252951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Mark Thomas Bernardi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073900536 PECOS PAC ID: 3476818667 Enrollment ID: I20210210002360 |
| Provider Name | Mahmoud Moammar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952500696 PECOS PAC ID: 9931282332 Enrollment ID: I20210216000893 |
Image M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12805 Victory Blvd, N Hollywood, CA 91606 Phone: 818-506-5906 | |
Rm Health Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12918 Sherman Way Unit 222, N Hollywood, CA 91605 Phone: 702-521-2449 | |
Tdj Md Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12826 Victory Blvd Ste E, N Hollywood, CA 91606 Phone: 818-583-0050 | |
Kwb Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7537 Laurel Canyon Blvd Unit A, N Hollywood, CA 91605 Phone: 818-858-0211 | |
Pfupajena Md Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7538 Laurel Canyon Blvd, N Hollywood, CA 91605 Phone: 213-924-3535 | |
Truecare Medical Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10738 Riverside Dr Ste A, N Hollywood, CA 91602 Phone: 818-505-3292 |