| Raul Arturo Pardave Md A Medical Corporation | |
|
1530 E Chevy Chase Dr Suite 207 Glendale CA 91206-4163 | |
| (818) 545-7418 | |
| (818) 844-0288 |
| Full Name | Raul Arturo Pardave Md A Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1530 E Chevy Chase Dr, Glendale, California |
| Authorized Official Name and Position | Raul Arturo Pardave (PRESIDENT) |
| Authorized Official Contact | 8184211318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raul Arturo Pardave Md A Medical Corporation 1530 E Chevy Chase Dr Suite 207 Glendale CA 91206-4163 Ph: (818) 545-7418 | Raul Arturo Pardave Md A Medical Corporation 1530 E Chevy Chase Dr Suite 207 Glendale CA 91206-4163 Ph: (818) 545-7418 |
| NPI Number | 1427234558 |
|---|---|
| Provider Enumeration Date | 01/18/2008 |
| Last Update Date | 10/21/2010 |
| Medicare PECOS PAC ID | 5799862009 |
|---|---|
| Medicare Enrollment ID | O20080410000857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427234558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A45243 (California) | Primary |
| Provider Name | Raul A Pardave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558460634 PECOS PAC ID: 6800835737 Enrollment ID: I20050428001261 |
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