| Tedmur Qozi-habash, MD | |
|
14901 Rinaldi St, Suite 200, Mission Hills, CA 91345-1204 | |
| (818) 365-8553 | |
| (818) 365-4524 |
| Full Name | Tedmur Qozi-habash |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 14901 Rinaldi St, Mission Hills, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710978135 | NPI | - | NPPES |
| 00A910260 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A91026 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northridge Hospital Medical Center | Northridge, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeside Medical Organization A Medical Group Inc | 7618005166 | 66 |
| Entity Name | Lakeside Medical Organization A Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831426642 PECOS PAC ID: 7618005166 Enrollment ID: O20100505000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Tedmur Qozi-habash, MD 777 Flower St, Suite A, Glendale, CA 91201-3015 Ph: (818) 637-2000 | Tedmur Qozi-habash, MD 14901 Rinaldi St, Suite 200, Mission Hills, CA 91345-1204 Ph: (818) 365-8553 |
Dr. Luisa Fernanda Arevalo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11600 Indian Hills Rd, Mission Hills, CA 91345 Phone: 818-838-4500 Fax: 818-838-7509 | |
Archana Kulai, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11600 Indian Hills Rd, Mission Hills, CA 91345 Phone: 818-838-4590 | |
Alessandro A Avila, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-869-7267 | |
Dr. Divya Manivannan, M.D.. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-869-7254 Fax: 818-869-1723 | |
Khoa Dang Nguyen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-365-9531 | |
Dr. Harold Eugene Shakespeare, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14901 Rinaldi St, Ste 200, Mission Hills, CA 91345 Phone: 818-365-8553 Fax: 818-365-4524 | |
Dr. Karin Yepremian Butcher, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 11600 Indian Hills Rd, Mission Hills, CA 91345 Phone: 818-838-4500 |