San Fernando Internal Medicine. Inc | |
11550 Indian Hills Rd Ste 240 Mission Hills CA 91345-1202 | |
(818) 488-5188 | |
(818) 356-4220 |
Full Name | San Fernando Internal Medicine. Inc |
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Speciality | Clinic/Center |
Location | 11550 Indian Hills Rd Ste 240, Mission Hills, California |
Authorized Official Name and Position | Karine Yeghoyan (CEO) |
Authorized Official Contact | 8184885188 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
San Fernando Internal Medicine. Inc 11550 Indian Hills Rd Ste 240 Mission Hills CA 91345-1202 Ph: (818) 488-5188 | San Fernando Internal Medicine. Inc 11550 Indian Hills Rd Ste 240 Mission Hills CA 91345-1202 Ph: (818) 488-5188 |
NPI Number | 1184081598 |
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Provider Enumeration Date | 01/15/2016 |
Last Update Date | 07/17/2023 |
Medicare PECOS PAC ID | 5395037048 |
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Medicare Enrollment ID | O20160715002143 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184081598 | NPI | - | NPPES |
1265664304 | Medicaid | CA | |
7202341 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | A118734 (California) | Primary |
Provider Name | Karine Yeghoyan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265664304 PECOS PAC ID: 9830349067 Enrollment ID: I20121025000147 |
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