| North Hills Medical Offices, Inc | |
|
15343 Parthenia St North Hills CA 91343-5105 | |
| (424) 317-4787 | |
| (818) 810-9052 |
| Full Name | North Hills Medical Offices, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 15343 Parthenia St, North Hills, California |
| Authorized Official Name and Position | Ira Grove (OWNER) |
| Authorized Official Contact | 4243174787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Hills Medical Offices, Inc 15343 Parthenia St North Hills CA 91343-5105 Ph: (424) 317-4787 | North Hills Medical Offices, Inc 15343 Parthenia St North Hills CA 91343-5105 Ph: (424) 317-4787 |
| NPI Number | 1063062776 |
|---|---|
| Provider Enumeration Date | 09/14/2019 |
| Last Update Date | 09/14/2019 |
| Medicare PECOS PAC ID | 5698007987 |
|---|---|
| Medicare Enrollment ID | O20191106002130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063062776 | NPI | - | NPPES |
| C51338 | Other | CA | MEDICAL BOARD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Ira K Grove |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1659327112 PECOS PAC ID: 1052303526 Enrollment ID: I20040402000585 |
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