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19730 Ventura Blvd Ste 101 Woodland Hills CA 91364-2683 | |
| (747) 247-0909 | |
| (747) 209-1515 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 19730 Ventura Blvd Ste 101, Woodland Hills, California |
| Authorized Official Name and Position | Yalda Herfatmanesh (CEO) |
| Authorized Official Contact | 8189707085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
24569 Calvert St Woodland Hills CA 91367-1015 Ph: (818) 970-7085 | 19730 Ventura Blvd Ste 101 Woodland Hills CA 91364-2683 Ph: (747) 247-0909 |
| NPI Number | 1245057645 |
|---|---|
| Provider Enumeration Date | 09/25/2024 |
| Last Update Date | 12/18/2024 |
| Medicare PECOS PAC ID | 1456885532 |
|---|---|
| Medicare Enrollment ID | O20241112002522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245057645 | NPI | - | NPPES |
| Provider Name | Michael M Keramati |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1962441238 PECOS PAC ID: 5799747630 Enrollment ID: I20041102000766 |
| Provider Name | Ali Anari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912252743 PECOS PAC ID: 0345548780 Enrollment ID: I20160418002010 |
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