| Woodman Medical & Dental Care Inc. | |
|
8725 Woodman Ave Arleta CA 91331-6560 | |
| (818) 891-4455 | |
| (818) 891-5583 |
| Full Name | Woodman Medical & Dental Care Inc. |
|---|---|
| Speciality | General Practice |
| Location | 8725 Woodman Ave, Arleta, California |
| Authorized Official Name and Position | Jahanbakhsh Nouri (M.D) |
| Authorized Official Contact | 8188914455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodman Medical & Dental Care Inc. 8725 Woodman Ave Arleta CA 91331-6560 Ph: (818) 891-4455 | Woodman Medical & Dental Care Inc. 8725 Woodman Ave Arleta CA 91331-6560 Ph: (818) 891-4455 |
| NPI Number | 1194911206 |
|---|---|
| Provider Enumeration Date | 09/21/2007 |
| Last Update Date | 08/03/2023 |
| Medicare PECOS PAC ID | 6608819230 |
|---|---|
| Medicare Enrollment ID | O20120221000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194911206 | NPI | - | NPPES |
| 00A534841 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jahanbakhsh Nouri |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366501629 PECOS PAC ID: 6305004474 Enrollment ID: I20120221000266 |
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