Valley View Family Medical Clinic,inc | |
14400 Roscoe Blvd Ste B Panorama City CA 91402-3001 | |
(818) 830-6888 | |
(818) 830-6891 |
Full Name | Valley View Family Medical Clinic,inc |
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Speciality | General Practice |
Location | 14400 Roscoe Blvd Ste B, Panorama City, California |
Authorized Official Name and Position | Hermilito Villar (OWNER) |
Authorized Official Contact | 8188306888 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Valley View Family Medical Clinic,inc 14400 Roscoe Blvd Ste B Panorama City CA 91402-3001 Ph: (818) 830-6888 | Valley View Family Medical Clinic,inc 14400 Roscoe Blvd Ste B Panorama City CA 91402-3001 Ph: (818) 830-6888 |
NPI Number | 1194912741 |
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Provider Enumeration Date | 09/27/2007 |
Last Update Date | 02/09/2017 |
Medicare PECOS PAC ID | 0840459244 |
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Medicare Enrollment ID | O20120305000157 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194912741 | NPI | - | NPPES |
GR0026280 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | A41795 (California) | Primary |
Provider Name | Hermilito Villar |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1710946009 PECOS PAC ID: 4486729720 Enrollment ID: I20120305000235 |
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