Northridge Family Practice Medical Group | |
18406 Roscoe Blvd Northridge CA 91325 | |
(818) 885-5480 | |
(818) 885-5430 |
Full Name | Northridge Family Practice Medical Group |
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Speciality | Family Medicine |
Location | 18406 Roscoe Blvd, Northridge, California |
Authorized Official Name and Position | Pamela M Davis (DIRECTOR) |
Authorized Official Contact | 8188855480 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Northridge Family Practice Medical Group 18406 Roscoe Blvd Northridge CA 91325 Ph: (818) 885-5480 | Northridge Family Practice Medical Group 18406 Roscoe Blvd Northridge CA 91325 Ph: (818) 885-5480 |
NPI Number | 1285642033 |
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Provider Enumeration Date | 08/04/2006 |
Last Update Date | 11/18/2010 |
Medicare PECOS PAC ID | 3173501772 |
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Medicare Enrollment ID | O20090717000543 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285642033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Catherine Cho |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1083716468 PECOS PAC ID: 6800874405 Enrollment ID: I20040709001354 |
Provider Name | Samuel S Feizi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356389274 PECOS PAC ID: 8325085749 Enrollment ID: I20050415000840 |
Provider Name | Michael Ebrahim Damavandi |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1235143801 PECOS PAC ID: 0547289548 Enrollment ID: I20051118000702 |
Provider Name | Cindy Wen Hsin Yang |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982855383 PECOS PAC ID: 4183763600 Enrollment ID: I20091123000286 |
Provider Name | Mehran A Okhovat |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508967167 PECOS PAC ID: 0446399505 Enrollment ID: I20091221000077 |
Provider Name | Amber K Williams |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124279088 PECOS PAC ID: 1557553773 Enrollment ID: I20101006000953 |
Provider Name | Meena S Makhijani |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578714432 PECOS PAC ID: 0244415636 Enrollment ID: I20110428000644 |
Provider Name | Murtaza Rajabali |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194969394 PECOS PAC ID: 1658546338 Enrollment ID: I20111207000742 |
Provider Name | Sharareh Shabafrooz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932491842 PECOS PAC ID: 0244470615 Enrollment ID: I20130708000386 |
Provider Name | Isabelle Gerard Madzar |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578810412 PECOS PAC ID: 3971744764 Enrollment ID: I20130719000564 |
Provider Name | Marjan Karimabadi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073839874 PECOS PAC ID: 9234371899 Enrollment ID: I20130809000551 |
Provider Name | Robyn Glezer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427340488 PECOS PAC ID: 7810124138 Enrollment ID: I20131212000751 |
Provider Name | Aubrey Tell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770788879 PECOS PAC ID: 2668549692 Enrollment ID: I20140205001348 |
Provider Name | Jennifer Wertz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326347725 PECOS PAC ID: 7416186689 Enrollment ID: I20140210001927 |
Provider Name | Leon Moses Bathini |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538451588 PECOS PAC ID: 5597994756 Enrollment ID: I20140324001511 |
Provider Name | Matthew Thomas Roberts |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083980403 PECOS PAC ID: 2860618584 Enrollment ID: I20140731002958 |
Provider Name | Reuben Ram |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275809691 PECOS PAC ID: 6406078252 Enrollment ID: I20141111000077 |
Provider Name | Nghi Dang |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750657193 PECOS PAC ID: 3678795515 Enrollment ID: I20141117000262 |
Provider Name | Rachael Robison |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497011340 PECOS PAC ID: 0244554327 Enrollment ID: I20150120001718 |
Provider Name | Jonathan F Utulo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215203484 PECOS PAC ID: 2466773023 Enrollment ID: I20150608001485 |
Provider Name | Rachel D Kaplan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699017061 PECOS PAC ID: 6800103797 Enrollment ID: I20150909001385 |
Provider Name | Roy Y Kim |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760724843 PECOS PAC ID: 7315242526 Enrollment ID: I20160225002682 |
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