| Preferred Ipa Of California, A Professional Medical Corporation | |
|
1025 N Brand Blvd Suite 100 Glendale CA 91202-2950 | |
| (818) 265-0800 | |
| (818) 265-0804 |
| Full Name | Preferred Ipa Of California, A Professional Medical Corporation |
|---|---|
| Speciality | General Practice |
| Location | 1025 N Brand Blvd, Glendale, California |
| Authorized Official Name and Position | Shadan Ghaemian (PRESIDENT) |
| Authorized Official Contact | 8182650800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preferred Ipa Of California, A Professional Medical Corporation 1025 N Brand Blvd Suite 100 Glendale CA 91202-2950 Ph: (818) 265-0800 | Preferred Ipa Of California, A Professional Medical Corporation 1025 N Brand Blvd Suite 100 Glendale CA 91202-2950 Ph: (818) 265-0800 |
| NPI Number | 1295992725 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295992725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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