| Slr Medco Group Inc | |
|
14545 Friar St 236 Van Nuys CA 91411-2397 | |
| (310) 413-6627 | |
| Not Available |
| Full Name | Slr Medco Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 14545 Friar St, Van Nuys, California |
| Authorized Official Name and Position | Steven Lee Rosenblatt (MD) |
| Authorized Official Contact | 3104136627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Slr Medco Group Inc 14545 Friar St # 236 Van Nuys CA 91411-2397 Ph: (310) 413-6627 | Slr Medco Group Inc 14545 Friar St 236 Van Nuys CA 91411-2397 Ph: (310) 413-6627 |
| NPI Number | 1780399014 |
|---|---|
| Provider Enumeration Date | 01/20/2023 |
| Last Update Date | 01/20/2023 |
| Medicare PECOS PAC ID | 1254704687 |
|---|---|
| Medicare Enrollment ID | O20230304000084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780399014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Douglas M Cochrane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417991811 PECOS PAC ID: 1759294374 Enrollment ID: I20031110000734 |
| Provider Name | Esmail Nadjmabadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699705400 PECOS PAC ID: 3870498082 Enrollment ID: I20031201000804 |
| Provider Name | Steven L Rosenblatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134142201 PECOS PAC ID: 3072596642 Enrollment ID: I20091223000141 |
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