| Universal Mobile Doctors Inc | |
|
15333 Sherman Way Ste P Van Nuys CA 91406-4204 | |
| (323) 821-7772 | |
| Not Available |
| Full Name | Universal Mobile Doctors Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 15333 Sherman Way Ste P, Van Nuys, California |
| Authorized Official Name and Position | Vadim Danielian (CEO) |
| Authorized Official Contact | 3238217772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Mobile Doctors Inc 15333 Sherman Way Ste P Van Nuys CA 91406-4204 Ph: (323) 821-7772 | Universal Mobile Doctors Inc 15333 Sherman Way Ste P Van Nuys CA 91406-4204 Ph: (323) 821-7772 |
| NPI Number | 1386269306 |
|---|---|
| Provider Enumeration Date | 06/16/2020 |
| Last Update Date | 06/16/2020 |
| Medicare PECOS PAC ID | 0547686065 |
|---|---|
| Medicare Enrollment ID | O20200814000938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386269306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Khalid Nur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235147521 PECOS PAC ID: 6608872916 Enrollment ID: I20070621000521 |
| Provider Name | Luis A Artavia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407885577 PECOS PAC ID: 6204917826 Enrollment ID: I20080121000235 |
| Provider Name | Vadim A Danielian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689141483 PECOS PAC ID: 9830128974 Enrollment ID: I20200924001591 |
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