| Hrak Derderian, MD | |
|
7300 Medical Center Dr, West Hills, CA 91307-1902 | |
| (818) 676-4000 | |
| Not Available |
| Full Name | Hrak Derderian |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 22 Years |
| Location | 7300 Medical Center Dr, West Hills, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619034725 | NPI | - | NPPES |
| A92365 | Other | CA | STATE CA LICENSE |
| 00A923650 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A92365 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Hills Hospital & Medical Center | West hills, CA | Hospital |
| Los Robles Hospital & Medical Center | Thousand oaks, CA | Hospital |
| Good Samaritan Hospital | Los angeles, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Can Emergency Physicians Medical Group Inc | 8820304462 | 48 |
| Entity Name | Team Physicians Of California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447288345 PECOS PAC ID: 8224945084 Enrollment ID: O20040920000880 |
| Entity Name | Can Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265810006 PECOS PAC ID: 8820304462 Enrollment ID: O20150827002595 |
| Entity Name | Team Physicians Of Southern California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225499015 PECOS PAC ID: 0446545354 Enrollment ID: O20160816003061 |
| Entity Name | Team Physicians Of Northern California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649692716 PECOS PAC ID: 7113215146 Enrollment ID: O20161006002407 |
| Mailing Address | Practice Location Address |
|---|---|
| Hrak Derderian, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Hrak Derderian, MD 7300 Medical Center Dr, West Hills, CA 91307-1902 Ph: (818) 676-4000 |
Rosmir Roseta Villaluz, FNP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7300 Medical Center Dr, West Hills, CA 91307 Phone: 818-676-4000 | |
Kiarash Rowhanian, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7300 Medical Center Dr, West Hills, CA 91307 Phone: 818-676-4000 | |
Aaron Jameson Mueller, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7300 Medical Center Dr, West Hills, CA 91307 Phone: 818-676-4000 | |
Gary Sindell, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7300 Medical Center Dr, Emergency Department, West Hills, CA 91307 Phone: 818-676-4000 | |
Randall A Caldron, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7230 Medical Center Dr, Suite 302, West Hills, CA 91307 Phone: 818-518-5980 Fax: 818-337-2049 | |
Loren E. Caira, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7300 Medical Center Dr, Emergency Department, West Hills, CA 91307 Phone: 818-676-4000 | |
Alan L. Kuban, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7300 Medical Center Dr, Emergency Department, West Hills, CA 91307 Phone: 818-676-4000 |