| Advantage Health Center Inc | |
|
10230 Canoga Ave Chatsworth CA 91311-3007 | |
| (818) 441-9946 | |
| (747) 724-2955 |
| Full Name | Advantage Health Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 10230 Canoga Ave, Chatsworth, California |
| Authorized Official Name and Position | Romeo Herrera (ADMINISTRATOR) |
| Authorized Official Contact | 3104079331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantage Health Center Inc 10230 Canoga Ave Chatsworth CA 91311-3007 Ph: (818) 441-9946 | Advantage Health Center Inc 10230 Canoga Ave Chatsworth CA 91311-3007 Ph: (818) 441-9946 |
| NPI Number | 1063245553 |
|---|---|
| Provider Enumeration Date | 08/21/2024 |
| Last Update Date | 08/21/2024 |
| Medicare PECOS PAC ID | 2567997075 |
|---|---|
| Medicare Enrollment ID | O20241120003930 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063245553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Pedram Kohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710392840 PECOS PAC ID: 4587997309 Enrollment ID: I20190611001642 |
| Provider Name | Anna Chalikyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447984570 PECOS PAC ID: 7012382856 Enrollment ID: I20231010003582 |
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