| Verdugo Medical Group Corp | |
|
142 W Verdugo Ave Burbank CA 91502-2132 | |
| (818) 588-3705 | |
| (818) 588-3685 |
| Full Name | Verdugo Medical Group Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 142 W Verdugo Ave, Burbank, California |
| Authorized Official Name and Position | Aboo Nasar (PRESIDENT) |
| Authorized Official Contact | 8185883705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Verdugo Medical Group Corp 142 W Verdugo Ave Burbank CA 91502-2132 Ph: (818) 588-3705 | Verdugo Medical Group Corp 142 W Verdugo Ave Burbank CA 91502-2132 Ph: (818) 588-3705 |
| NPI Number | 1073373601 |
|---|---|
| Provider Enumeration Date | 03/20/2024 |
| Last Update Date | 03/20/2024 |
| Medicare PECOS PAC ID | 4587005210 |
|---|---|
| Medicare Enrollment ID | O20240513003152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073373601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Aboo Nasar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871533380 PECOS PAC ID: 9638154131 Enrollment ID: I20060317000550 |
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