| Stellar Health Medical Group Inc | |
|
7258 W Sunset Blvd Los Angeles CA 90046-3410 | |
| (323) 654-7716 | |
| (323) 654-7771 |
| Full Name | Stellar Health Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7258 W Sunset Blvd, Los Angeles, California |
| Authorized Official Name and Position | Stella Popova (DIRECTOR/PRESIDENT) |
| Authorized Official Contact | 3236547716 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stellar Health Medical Group Inc 7258 W Sunset Blvd Los Angeles CA 90046-3410 Ph: (323) 654-7716 | Stellar Health Medical Group Inc 7258 W Sunset Blvd Los Angeles CA 90046-3410 Ph: (323) 654-7716 |
| NPI Number | 1285823914 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 09/07/2013 |
| Medicare PECOS PAC ID | 0446330450 |
|---|---|
| Medicare Enrollment ID | O20080103000386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285823914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A65599 (California) | Primary |
| Provider Name | Stella Popova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023108925 PECOS PAC ID: 0941209506 Enrollment ID: I20061207000434 |
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