| Dr. Mimi Shagaga Inc. | |
|
20300 Ventura Blvd Ste 315 Woodland Hills CA 91364-0903 | |
| (424) 274-2963 | |
| Not Available |
| Full Name | Dr. Mimi Shagaga Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 20300 Ventura Blvd Ste 315, Woodland Hills, California |
| Authorized Official Name and Position | Karima Shagaga (PRESIDENT) |
| Authorized Official Contact | 4242742963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Mimi Shagaga Inc. 13351d Riverside Dr Ste 598 Sherman Oaks CA 91423-2508 Ph: (424) 274-2963 | Dr. Mimi Shagaga Inc. 20300 Ventura Blvd Ste 315 Woodland Hills CA 91364-0903 Ph: (424) 274-2963 |
| NPI Number | 1831653781 |
|---|---|
| Provider Enumeration Date | 01/24/2019 |
| Last Update Date | 07/02/2020 |
| Certification Date | 07/02/2020 |
| Medicare PECOS PAC ID | 6608109905 |
|---|---|
| Medicare Enrollment ID | O20190530002841 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831653781 | NPI | - | NPPES |
| Provider Name | Karima S Shagaga |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528581709 PECOS PAC ID: 4789955139 Enrollment ID: I20170926004339 |
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