| Judith Vukov, M.d.,inc. | |
|
121 W Lexington Dr Suite 210 Glendale CA 91203-2203 | |
| (818) 956-3207 | |
| (818) 956-1180 |
| Full Name | Judith Vukov, M.d.,inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 121 W Lexington Dr, Glendale, California |
| Authorized Official Name and Position | Judith A Vukov (PRESIDENT/OWNER) |
| Authorized Official Contact | 18189563207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Judith Vukov, M.d.,inc. Po Box 10578 Glendale CA 91209-3578 Ph: (818) 956-3207 | Judith Vukov, M.d.,inc. 121 W Lexington Dr Suite 210 Glendale CA 91203-2203 Ph: (818) 956-3207 |
| NPI Number | 1700064409 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 07/14/2015 |
| Medicare PECOS PAC ID | 4284827635 |
|---|---|
| Medicare Enrollment ID | O20101019000373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700064409 | NPI | - | NPPES |
| 00A380360 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A38036 (California) | Primary |
| Provider Name | Judith Ann Vukov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699759266 PECOS PAC ID: 5193918548 Enrollment ID: I20101019000520 |
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