| Mvp Medical Group-a Professional Nursing Corporation | |
|
3100 W Burbank Blvd Ste 105 Burbank CA 91505-2348 | |
| (818) 405-7764 | |
| Not Available |
| Full Name | Mvp Medical Group-a Professional Nursing Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 3100 W Burbank Blvd Ste 105, Burbank, California |
| Authorized Official Name and Position | Mayranush Aslibekyan (BUSINESS OWNER) |
| Authorized Official Contact | 8184057764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mvp Medical Group-a Professional Nursing Corporation 3100 W Burbank Blvd Ste 105 Burbank CA 91505-2348 Ph: (818) 405-7764 | Mvp Medical Group-a Professional Nursing Corporation 3100 W Burbank Blvd Ste 105 Burbank CA 91505-2348 Ph: (818) 405-7764 |
| NPI Number | 1902651292 |
|---|---|
| Provider Enumeration Date | 04/19/2024 |
| Last Update Date | 04/19/2024 |
| Medicare PECOS PAC ID | 9436591492 |
|---|---|
| Medicare Enrollment ID | O20240522004079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902651292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rabi U Alam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821288812 PECOS PAC ID: 0244310134 Enrollment ID: I20080104000263 |
| Provider Name | Richard Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174718134 PECOS PAC ID: 5698964906 Enrollment ID: I20110118000516 |
| Provider Name | Mayranush Aslibekyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538893151 PECOS PAC ID: 5496126625 Enrollment ID: I20230125002030 |
| Provider Name | Violeta Papazyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093592461 PECOS PAC ID: 1052768421 Enrollment ID: I20231106003583 |
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