Tri-star Medical Clinic | |
6817 1/2 Kester Ave Van Nuys CA 91405-3716 | |
(818) 483-4717 | |
Not Available |
Full Name | Tri-star Medical Clinic |
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Speciality | General Practice |
Location | 6817 1/2 Kester Ave, Van Nuys, California |
Authorized Official Name and Position | L Lee Nelson (PRESIDENT) |
Authorized Official Contact | 8184834717 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tri-star Medical Clinic 6817 1/2 Kester Ave Van Nuys CA 91405-3716 Ph: (818) 483-4717 | Tri-star Medical Clinic 6817 1/2 Kester Ave Van Nuys CA 91405-3716 Ph: (818) 483-4717 |
NPI Number | 1538875380 |
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Provider Enumeration Date | 01/25/2023 |
Last Update Date | 01/25/2023 |
Medicare PECOS PAC ID | 5991160988 |
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Medicare Enrollment ID | O20230426001664 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538875380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Zinovy N Lekht |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427093236 PECOS PAC ID: 1052218997 Enrollment ID: I20031217001011 |
Provider Name | Lee Nelson |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1407972656 PECOS PAC ID: 0840249553 Enrollment ID: I20050120000382 |
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