| Adult & Pediatric Urgent Care | |
|
11126 Chandler Blvd North Hollywood CA 91601-3228 | |
| (818) 985-0044 | |
| (818) 985-0054 |
| Full Name | Adult & Pediatric Urgent Care |
|---|---|
| Speciality | Family Medicine |
| Location | 11126 Chandler Blvd, North Hollywood, California |
| Authorized Official Name and Position | Erica Nacin (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8055295370 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult & Pediatric Urgent Care Po Box 539 Moorpark CA 93020-0539 Ph: (805) 529-5370 | Adult & Pediatric Urgent Care 11126 Chandler Blvd North Hollywood CA 91601-3228 Ph: (818) 985-0044 |
| NPI Number | 1720517550 |
|---|---|
| Provider Enumeration Date | 06/06/2017 |
| Last Update Date | 01/22/2019 |
| Medicare PECOS PAC ID | 8224307798 |
|---|---|
| Medicare Enrollment ID | O20170627002506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720517550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Wendy Lynn Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639238397 PECOS PAC ID: 1052306958 Enrollment ID: I20040419001648 |
| Provider Name | Tarek Alasil |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003072786 PECOS PAC ID: 6406048727 Enrollment ID: I20170523002897 |
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