| Elda Petrosyan, FNP | |
|
8256 Saint Clair Ave, North Hollywood, CA 91605-1327 | |
| (818) 859-0503 | |
| Not Available |
| Full Name | Elda Petrosyan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 8256 Saint Clair Ave, North Hollywood, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396506283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95027679 (California) | Primary |
| Entity Name | Mobile Medical Group Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487169660 PECOS PAC ID: 8224397963 Enrollment ID: O20180125002042 |
| Entity Name | Shine Mmg Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053930248 PECOS PAC ID: 6103257282 Enrollment ID: O20200505000514 |
| Entity Name | California Mobile Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588439061 PECOS PAC ID: 7719330091 Enrollment ID: O20240202001837 |
| Entity Name | Meri Medical Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649076878 PECOS PAC ID: 0547781650 Enrollment ID: O20250305002812 |
| Mailing Address | Practice Location Address |
|---|---|
| Elda Petrosyan, FNP 8256 Saint Clair Ave, North Hollywood, CA 91605-1327 Ph: (818) 859-0503 | Elda Petrosyan, FNP 8256 Saint Clair Ave, North Hollywood, CA 91605-1327 Ph: (818) 859-0503 |
Dr. Yekeen Adagbada Jr., Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11049 Magnolia Blvd Apt 302, North Hollywood, CA 91601 Phone: 773-412-8828 | |
Hrachya Greg Grigoryan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6422 Whitsett Ave Apt 202, North Hollywood, CA 91606 Phone: 818-861-4708 | |
Ms. Janetta Ellen Yanez, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6801 Coldwater Canyon Ave, North Hollywood, CA 91605 Phone: 818-763-8836 | |
Alfonso Cruz Manuel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7653 Coldwater Canyon Ct, North Hollywood, CA 91605 Phone: 818-200-7062 | |
Victoria Vicky Ovakyan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6248 Satsuma Ave, North Hollywood, CA 91606 Phone: 818-282-8174 | |
Harshdeep Singh Brar, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11130 Otsego St Apt 431, North Hollywood, CA 91601 Phone: 559-394-8987 | |
Ani Kirakosyan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10628 Riverside Dr Ste 4, North Hollywood, CA 91602 Phone: 818-259-9412 |