| Abc Hospitalists | |
|
1509 Wilson Ter Glendale CA 91206-4007 | |
| (818) 795-2460 | |
| (818) 356-4465 |
| Full Name | Abc Hospitalists |
|---|---|
| Speciality | Family Medicine |
| Location | 1509 Wilson Ter, Glendale, California |
| Authorized Official Name and Position | Eugene Yujin Ahn (PRESIDENT) |
| Authorized Official Contact | 8187952460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abc Hospitalists Po Box 10160 Glendale CA 91209-3160 Ph: (818) 795-2460 | Abc Hospitalists 1509 Wilson Ter Glendale CA 91206-4007 Ph: (818) 795-2460 |
| NPI Number | 1922369818 |
|---|---|
| Provider Enumeration Date | 06/06/2012 |
| Last Update Date | 08/28/2020 |
| Certification Date | 08/28/2020 |
| Medicare PECOS PAC ID | 4880859065 |
|---|---|
| Medicare Enrollment ID | O20120713000504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922369818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| Provider Name | Eugene Yujin Ahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881863280 PECOS PAC ID: 9638230642 Enrollment ID: I20081210000010 |
| Provider Name | Ali Reza Daneshvari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942534060 PECOS PAC ID: 8628227824 Enrollment ID: I20121003000627 |
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