| Progress Medical Clinic Inc | |
|
7601 Canby Ave Suite #7 Reseda CA 91335-2974 | |
| (818) 757-1919 | |
| (818) 757-3134 |
| Full Name | Progress Medical Clinic Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7601 Canby Ave, Reseda, California |
| Authorized Official Name and Position | Svetlana Baranovsky (OWNER) |
| Authorized Official Contact | 8187571919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progress Medical Clinic Inc 7601 Canby Ave Suite #7 Reseda CA 91335-2974 Ph: (818) 757-1919 | Progress Medical Clinic Inc 7601 Canby Ave Suite #7 Reseda CA 91335-2974 Ph: (818) 757-1919 |
| NPI Number | 1467545855 |
|---|---|
| Provider Enumeration Date | 09/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467545855 | NPI | - | NPPES |
| GR0078170 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A53350 (California) | Primary |
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