Yuriy Verpukhovskiy Md Inc | |
14860 Roscoe Blvd Ste 306 Panorama City CA 91402-4665 | |
(818) 904-9200 | |
(818) 904-9300 |
Full Name | Yuriy Verpukhovskiy Md Inc |
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Speciality | Clinic/Center |
Location | 14860 Roscoe Blvd, Panorama City, California |
Authorized Official Name and Position | Yuriy Verpukhovskiy (PRESIDENT) |
Authorized Official Contact | 8189049200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Yuriy Verpukhovskiy Md Inc 14860 Roscoe Blvd Ste 306 Panorama City CA 91402-4665 Ph: (818) 904-9200 | Yuriy Verpukhovskiy Md Inc 14860 Roscoe Blvd Ste 306 Panorama City CA 91402-4665 Ph: (818) 904-9200 |
NPI Number | 1326244427 |
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Provider Enumeration Date | 06/25/2007 |
Last Update Date | 04/22/2008 |
Medicare PECOS PAC ID | 6406945591 |
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Medicare Enrollment ID | O20071127000456 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326244427 | NPI | - | NPPES |
A76392 | Other | CA | LICENSE |
00A763920 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | A76392 (California) | Primary |
Provider Name | Yuriy Verpukhovskiy |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1053365270 PECOS PAC ID: 5698719714 Enrollment ID: I20050620000082 |
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