| Virtualdoc Inc. | |
|
23838 Valencia Blvd Ste 304 Valencia CA 91355-5319 | |
| (310) 954-7740 | |
| Not Available |
| Full Name | Virtualdoc Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 23838 Valencia Blvd Ste 304, Valencia, California |
| Authorized Official Name and Position | Nastran Hashemi (CEO, OWNER) |
| Authorized Official Contact | 3109547740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virtualdoc Inc. 900 Euclid St Apt 304 Santa Monica CA 90403-3058 Ph: (310) 954-7740 | Virtualdoc Inc. 23838 Valencia Blvd Ste 304 Valencia CA 91355-5319 Ph: (310) 954-7740 |
| NPI Number | 1376071621 |
|---|---|
| Provider Enumeration Date | 05/31/2017 |
| Last Update Date | 05/31/2017 |
| Medicare PECOS PAC ID | 4789953936 |
|---|---|
| Medicare Enrollment ID | O20170705000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376071621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A118407 (California) | Primary |
| Provider Name | Nastran Hashemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891009163 PECOS PAC ID: 4082984760 Enrollment ID: I20170728001410 |
| Provider Name | Amir Kashefi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1558591933 PECOS PAC ID: 9537474119 Enrollment ID: I20180427000546 |
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