| Pacific Health Medical Group | |
|
319 S Brand Blvd Glendale CA 91204-1701 | |
| (818) 240-0006 | |
| (818) 240-0038 |
| Full Name | Pacific Health Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 319 S Brand Blvd, Glendale, California |
| Authorized Official Name and Position | Gayane Begoyan (MEDICAL DOCTOR) |
| Authorized Official Contact | 8182400006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Health Medical Group 319 S Brand Blvd Glendale CA 91204-1701 Ph: (818) 240-0006 | Pacific Health Medical Group 319 S Brand Blvd Glendale CA 91204-1701 Ph: (818) 240-0006 |
| NPI Number | 1902209992 |
|---|---|
| Provider Enumeration Date | 10/03/2014 |
| Last Update Date | 10/03/2014 |
| Medicare PECOS PAC ID | 4183941222 |
|---|---|
| Medicare Enrollment ID | O20150330000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902209992 | NPI | - | NPPES |
| Provider Name | Kenny E Hanna |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629283510 PECOS PAC ID: 7315182490 Enrollment ID: I20181206003543 |
| Provider Name | Anna Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164104238 PECOS PAC ID: 8022465145 Enrollment ID: I20231111000669 |
| Provider Name | Chrestin Elisha |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578188181 PECOS PAC ID: 9133567407 Enrollment ID: I20241206002310 |
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