| Assuta Family Medical Group A Professional Medical Corporation | |
|
12922 Victory Blvd North Hollywood CA 91606-2924 | |
| (818) 760-2800 | |
| (818) 760-7343 |
| Full Name | Assuta Family Medical Group A Professional Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 12922 Victory Blvd, North Hollywood, California |
| Authorized Official Name and Position | Soroush Adam Ramin (PRESIDENT) |
| Authorized Official Contact | 8187602800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Assuta Family Medical Group A Professional Medical Corporation 12922 Victory Blvd North Hollywood CA 91606-2924 Ph: (818) 760-2800 | Assuta Family Medical Group A Professional Medical Corporation 12922 Victory Blvd North Hollywood CA 91606-2924 Ph: (818) 760-2800 |
| NPI Number | 1639400260 |
|---|---|
| Provider Enumeration Date | 01/21/2010 |
| Last Update Date | 01/21/2010 |
| Medicare PECOS PAC ID | 2860529195 |
|---|---|
| Medicare Enrollment ID | O20100419000547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639400260 | NPI | - | NPPES |
| Provider Name | Soroush A Ramin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639386626 PECOS PAC ID: 2466404314 Enrollment ID: I20050222000391 |
| Provider Name | Marjan Banooni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518983063 PECOS PAC ID: 5698794196 Enrollment ID: I20051114001087 |
| Provider Name | Mark W Vogel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578653457 PECOS PAC ID: 5092819714 Enrollment ID: I20070404000530 |
| Provider Name | Peter Michael Loisides |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679647838 PECOS PAC ID: 6709910003 Enrollment ID: I20100820000877 |
| Provider Name | Michael Elist |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1326340308 PECOS PAC ID: 5890960470 Enrollment ID: I20111209000173 |
| Provider Name | Mehran Movassaghi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154518629 PECOS PAC ID: 8729243282 Enrollment ID: I20120706000482 |
| Provider Name | Evan Rosen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013948959 PECOS PAC ID: 6709930084 Enrollment ID: I20170116000091 |
| Provider Name | Aydin H Pooli |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548558067 PECOS PAC ID: 9133351026 Enrollment ID: I20170223001028 |
| Provider Name | David Kuppermann |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053762948 PECOS PAC ID: 3971899642 Enrollment ID: I20210615000363 |
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Magna Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11755 Victory Blvd, Suite 206, North Hollywood, CA 91606 Phone: 818-762-9883 Fax: 818-762-3237 | |
Oxnard Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12511 Oxnard St, North Hollywood, CA 91606 Phone: 818-762-2084 Fax: 818-762-2085 | |
Nhvc Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12826 Victory Blvd, Suite D, North Hollywood, CA 91606 Phone: 310-819-7059 | |
Shavash Safvati M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12626 Riverside Dr, Suite #303, North Hollywood, CA 91607 Phone: 818-760-2434 Fax: 818-760-8832 | |
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