| Thrive Comprehensive Medical Group | |
|
18607 Ventura Blvd Ste 102 Tarzana CA 91356-6804 | |
| (818) 602-6761 | |
| (818) 600-1494 |
| Full Name | Thrive Comprehensive Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 18607 Ventura Blvd Ste 102, Tarzana, California |
| Authorized Official Name and Position | Armin Shlomy Arasheben (CME) |
| Authorized Official Contact | 8186001472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Comprehensive Medical Group Po Box 573041 Tarzana CA 91357-3041 Ph: (818) 600-1472 | Thrive Comprehensive Medical Group 18607 Ventura Blvd Ste 102 Tarzana CA 91356-6804 Ph: (818) 602-6761 |
| NPI Number | 1659625002 |
|---|---|
| Provider Enumeration Date | 11/07/2012 |
| Last Update Date | 02/08/2019 |
| Medicare PECOS PAC ID | 0648421800 |
|---|---|
| Medicare Enrollment ID | O20121115000517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659625002 | NPI | - | NPPES |
| GR535A | Other | CA | PTAN |
| A115108 | Other | CA | CA MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A115108 (California) | Primary |
| Provider Name | Armin S. Arasheben |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518112762 PECOS PAC ID: 0244402998 Enrollment ID: I20111003000097 |
| Provider Name | Shiva Beroukhim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326386681 PECOS PAC ID: 0840419859 Enrollment ID: I20140923002221 |
| Provider Name | Andrea Lynn Holzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760903173 PECOS PAC ID: 7911260955 Enrollment ID: I20180404001965 |
| Provider Name | Ashley Duzik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255861456 PECOS PAC ID: 0244650752 Enrollment ID: I20201030001734 |
| Provider Name | Helen Cordova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346840881 PECOS PAC ID: 8123430527 Enrollment ID: I20201208003056 |
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