| Ans Medical Group | |
|
639 S Glenwood Pl Ste 117-b Burbank CA 91506-2819 | |
| (213) 757-8729 | |
| (213) 725-5950 |
| Full Name | Ans Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 639 S Glenwood Pl Ste 117-b, Burbank, California |
| Authorized Official Name and Position | Estela Corpuz (CEO) |
| Authorized Official Contact | 7023026395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ans Medical Group 639 S Glenwood Pl Ste 117-b Burbank CA 91506-2819 Ph: (213) 757-8729 | Ans Medical Group 639 S Glenwood Pl Ste 117-b Burbank CA 91506-2819 Ph: (213) 757-8729 |
| NPI Number | 1124865795 |
|---|---|
| Provider Enumeration Date | 07/11/2024 |
| Last Update Date | 06/23/2025 |
| Certification Date | 06/23/2025 |
| Medicare PECOS PAC ID | 3779006291 |
|---|---|
| Medicare Enrollment ID | O20250325003958 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124865795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Eun K Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194226936 PECOS PAC ID: 5698020279 Enrollment ID: I20180622001156 |
| Provider Name | Ronald Mendoza Baroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679260814 PECOS PAC ID: 5294275590 Enrollment ID: I20240913000784 |
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