Prohealth Internal Medicine, Inc | |
14407 Hamlin St Ste D Van Nuys CA 91401-6200 | |
(818) 324-6448 | |
Not Available |
Full Name | Prohealth Internal Medicine, Inc |
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Speciality | Clinic/Center |
Location | 14407 Hamlin St Ste D, Van Nuys, California |
Authorized Official Name and Position | Arsineh Almasi (CEO) |
Authorized Official Contact | 8183246448 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Prohealth Internal Medicine, Inc 14407 Hamlin St Ste D Van Nuys CA 91401-6200 Ph: (818) 324-6448 | Prohealth Internal Medicine, Inc 14407 Hamlin St Ste D Van Nuys CA 91401-6200 Ph: (818) 324-6448 |
NPI Number | 1912772047 |
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Provider Enumeration Date | 11/20/2023 |
Last Update Date | 01/29/2024 |
Medicare PECOS PAC ID | 6709328396 |
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Medicare Enrollment ID | O20240611002499 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912772047 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Arsineh Almasi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376856203 PECOS PAC ID: 0749466076 Enrollment ID: I20210622002203 |
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