| Central Medical Group-canoga Park/ Nabil S Feghali Md Inc | |
|
8111 Canoga Ave Canoga Park CA 91304-4103 | |
| (818) 704-7200 | |
| (818) 704-3964 |
| Full Name | Central Medical Group-canoga Park/ Nabil S Feghali Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8111 Canoga Ave, Canoga Park, California |
| Authorized Official Name and Position | Nabil S Feghali (EMPLOYER) |
| Authorized Official Contact | 8185857832 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Medical Group-canoga Park/ Nabil S Feghali Md Inc 8111 Canoga Ave Canoga Park CA 91304-4103 Ph: (818) 704-7200 | Central Medical Group-canoga Park/ Nabil S Feghali Md Inc 8111 Canoga Ave Canoga Park CA 91304-4103 Ph: (818) 704-7200 |
| NPI Number | 1265622542 |
|---|---|
| Provider Enumeration Date | 08/01/2007 |
| Last Update Date | 05/04/2022 |
| Medicare PECOS PAC ID | 2163451501 |
|---|---|
| Medicare Enrollment ID | O20050805000894 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265622542 | NPI | - | NPPES |
| 4016879 | Other | CA | AETNA |
| 00A347040 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nabil Salloum Feghali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982787057 PECOS PAC ID: 3971532318 Enrollment ID: I20101004000618 |
| Provider Name | Amineh El-ghali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326543265 PECOS PAC ID: 2365831070 Enrollment ID: I20211118002818 |
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