| Pacoima Primary Care Medical Clinic | |
|
12502 Van Nuys Blvd 104 Pacoima CA 91331 | |
| (818) 899-5555 | |
| (818) 899-5969 |
| Full Name | Pacoima Primary Care Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 12502 Van Nuys Blvd, Pacoima, California |
| Authorized Official Name and Position | Daryoush Yallya Kashani (PRESIDENT) |
| Authorized Official Contact | 8188995555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacoima Primary Care Medical Clinic 18653 Ventura Blvd 289 Tarzana CA 91356 Ph: (818) 899-5555 | Pacoima Primary Care Medical Clinic 12502 Van Nuys Blvd 104 Pacoima CA 91331 Ph: (818) 899-5555 |
| NPI Number | 1467511592 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467511592 | NPI | - | NPPES |
| 00A666980 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mission City Community Network, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9919 Laurel Canyon Blvd, Pacoima, CA 91331 Phone: 818-895-3100 | |
Pacoima Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13563 Van Nuys Blvd, Pacoima, CA 91331 Phone: 818-890-5300 Fax: 818-890-0880 | |
J & M Laurel Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13680 Van Nuys Blvd, Pacoima, CA 91331 Phone: 818-897-7730 Fax: 818-897-7831 | |
Gilbert Rosales,m.d.,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13711 Van Nuys Blvd Suite 1, Pacoima, CA 91331 Phone: 818-897-2164 Fax: 818-890-9614 | |
Independence Community Treatment Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12450 Van Nuys Blvd, Pacoima, CA 91331 Phone: 818-776-1755 | |
Century Women Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13309 Van Nuys Blvd, Pacoima, CA 91331 Phone: 310-553-1200 Fax: 310-553-1216 | |
Saint Ana Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13676 Van Nuys Blvd, Pacoima, CA 91331 Phone: 818-897-3991 Fax: 818-897-1872 |