Wellness Medical Group Inc | |
6501 Foothill Blvd Ste 101 Tujunga CA 91042-2766 | |
(818) 352-2111 | |
(818) 352-5740 |
Full Name | Wellness Medical Group Inc |
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Speciality | General Practice |
Location | 6501 Foothill Blvd Ste 101, Tujunga, California |
Authorized Official Name and Position | Kevork Vorperian (PRESIDENT) |
Authorized Official Contact | 8183522111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wellness Medical Group Inc 6501 Foothill Blvd #101 Tujunga CA 91042-2765 Ph: (818) 352-2111 | Wellness Medical Group Inc 6501 Foothill Blvd Ste 101 Tujunga CA 91042-2766 Ph: (818) 352-2111 |
NPI Number | 1215369509 |
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Provider Enumeration Date | 08/08/2013 |
Last Update Date | 02/20/2018 |
Medicare PECOS PAC ID | 3779528658 |
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Medicare Enrollment ID | O20050621001264 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215369509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Adelina Vorperian |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699722306 PECOS PAC ID: 5890732721 Enrollment ID: I20050412001536 |
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