| Prime Care Associates A Medical Corporation | |
|
18350 Roscoe Blvd Suite # 218 Northridge CA 91325-4109 | |
| (818) 993-6660 | |
| (818) 993-8158 |
| Full Name | Prime Care Associates A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 18350 Roscoe Blvd, Northridge, California |
| Authorized Official Name and Position | Yasmin Kajani (OFFICE MANAGER) |
| Authorized Official Contact | 8189936660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Care Associates A Medical Corporation 18350 Roscoe Blvd Suite # 218 Northridge CA 91325-4109 Ph: (818) 993-6660 | Prime Care Associates A Medical Corporation 18350 Roscoe Blvd Suite # 218 Northridge CA 91325-4109 Ph: (818) 993-6660 |
| NPI Number | 1508986738 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 05/11/2010 |
| Medicare PECOS PAC ID | 2860520913 |
|---|---|
| Medicare Enrollment ID | O20100511000174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508986738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Sikander Kajani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851380992 PECOS PAC ID: 9739250721 Enrollment ID: I20100222000415 |
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