| Satar Medical Group Inc | |
|
713 One And Half N Ridgewood Pl Los Angeles CA 90038-3105 | |
| (323) 464-1550 | |
| (323) 464-1557 |
| Full Name | Satar Medical Group Inc |
|---|---|
| Speciality | General Practice |
| Location | 713 One And Half N Ridgewood Pl, Los Angeles, California |
| Authorized Official Name and Position | Yousef Mehrabi (PRESIDENT) |
| Authorized Official Contact | 3234641550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Satar Medical Group Inc 713 One And Half N Ridgewood Pl Los Angeles CA 90038 Ph: (323) 464-1550 | Satar Medical Group Inc 713 One And Half N Ridgewood Pl Los Angeles CA 90038-3105 Ph: (323) 464-1550 |
| NPI Number | 1962958082 |
|---|---|
| Provider Enumeration Date | 08/29/2016 |
| Last Update Date | 08/29/2016 |
| Medicare PECOS PAC ID | 1850688268 |
|---|---|
| Medicare Enrollment ID | O20160929000499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962958082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A33919 (California) | Primary |
| Provider Name | Yousef Mehrabi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1083693915 PECOS PAC ID: 8123340726 Enrollment ID: I20141210001768 |
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