| Spirit Medical Group | |
|
1030 S Glendale Ave Ste 506 Glendale CA 91205-2820 | |
| (818) 245-6475 | |
| (818) 245-6417 |
| Full Name | Spirit Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1030 S Glendale Ave Ste 506, Glendale, California |
| Authorized Official Name and Position | Nicholas Dzebolo (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8182456475 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spirit Medical Group 1030 S Glendale Ave Ste 506 Glendale CA 91205-2820 Ph: (818) 245-6475 | Spirit Medical Group 1030 S Glendale Ave Ste 506 Glendale CA 91205-2820 Ph: (818) 245-6475 |
| NPI Number | 1255029799 |
|---|---|
| Provider Enumeration Date | 04/24/2023 |
| Last Update Date | 04/24/2023 |
| Medicare PECOS PAC ID | 7517324197 |
|---|---|
| Medicare Enrollment ID | O20230613002645 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255029799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Nicholas N Dzebolo |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1932239837 PECOS PAC ID: 3678464013 Enrollment ID: I20040323002048 |
Silva Karchikian, M.d. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 Arden Ave, Suite 101, Glendale, CA 91203 Phone: 818-549-9305 Fax: 818-662-8812 | |
Glendale Premier Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 W Eulalia St, #201, Glendale, CA 91204 Phone: 818-240-0601 Fax: 818-240-0687 | |
Glenoaks Urgent Care Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 W Glenoaks Blvd, Glendale, CA 91202 Phone: 818-242-3333 Fax: 818-546-1056 | |
Rubin Manavi, Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 N Central Ave, Glendale, CA 91203 Phone: 818-241-0970 Fax: 818-638-0024 | |
Armen Nercessian Do Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1122 N Brand Blvd Ste 101, Glendale, CA 91202 Phone: 818-552-2011 Fax: 818-552-2012 | |
Synergy Observation Specialists Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1509 Wilson Ter, Glendale, CA 91206 Phone: 818-409-8000 | |
Lev Grinman Md 3 Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 N Brand Blvd Ste 600, Glendale, CA 91203 Phone: 818-369-1170 |