| Sar Md Group Inc | |
|
12826 Victory Blvd Ste D North Hollywood CA 91606-3066 | |
| (424) 877-2974 | |
| Not Available |
| Full Name | Sar Md Group Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 12826 Victory Blvd Ste D, North Hollywood, California |
| Authorized Official Name and Position | David Lewis Edelman (CEO) |
| Authorized Official Contact | 8185830050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sar Md Group Inc 12826 Victory Blvd Ste D North Hollywood CA 91606-3066 Ph: (424) 877-2974 | Sar Md Group Inc 12826 Victory Blvd Ste D North Hollywood CA 91606-3066 Ph: (424) 877-2974 |
| NPI Number | 1700683877 |
|---|---|
| Provider Enumeration Date | 02/26/2025 |
| Last Update Date | 02/26/2025 |
| Certification Date | 02/26/2025 |
| Medicare PECOS PAC ID | 4880111327 |
|---|---|
| Medicare Enrollment ID | O20250507003275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700683877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | David L Edelman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366482960 PECOS PAC ID: 7113974080 Enrollment ID: I20050401001003 |
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