| Neiveen Peter Medical Corporation | |
|
1100 E Broadway Ste 301 Glendale CA 91205-1380 | |
| (818) 416-3337 | |
| Not Available |
| Full Name | Neiveen Peter Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1100 E Broadway Ste 301, Glendale, California |
| Authorized Official Name and Position | Neiveen Peter (PROVIDER) |
| Authorized Official Contact | 8184163337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neiveen Peter Medical Corporation 1121 Avonoak Ter Glendale CA 91206-1513 Ph: (818) 416-3337 | Neiveen Peter Medical Corporation 1100 E Broadway Ste 301 Glendale CA 91205-1380 Ph: (818) 416-3337 |
| NPI Number | 1205483443 |
|---|---|
| Provider Enumeration Date | 08/22/2019 |
| Last Update Date | 08/22/2019 |
| Medicare PECOS PAC ID | 8729414636 |
|---|---|
| Medicare Enrollment ID | O20200212000521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205483443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Neiveen Peter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295013951 PECOS PAC ID: 6709009723 Enrollment ID: I20140627002175 |
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