| Century Medical Group | |
|
15243 Vanowen St Ste 406 Van Nuys CA 91405-3605 | |
| (818) 780-2106 | |
| (818) 780-4271 |
| Full Name | Century Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 15243 Vanowen St, Van Nuys, California |
| Authorized Official Name and Position | Denise Phan (PRESIDENT) |
| Authorized Official Contact | 8187802106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Century Medical Group 15243 Vanowen St Ste 406 Van Nuys CA 91405-3636 Ph: (818) 780-2106 | Century Medical Group 15243 Vanowen St Ste 406 Van Nuys CA 91405-3605 Ph: (818) 780-2106 |
| NPI Number | 1518081652 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 03/19/2009 |
| Medicare PECOS PAC ID | 1355236290 |
|---|---|
| Medicare Enrollment ID | O20040218001032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518081652 | NPI | - | NPPES |
| Provider Name | Sylvain S Silberstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710038427 PECOS PAC ID: 6608804745 Enrollment ID: I20051108001068 |
| Provider Name | Stephen Reale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396846572 PECOS PAC ID: 6608065669 Enrollment ID: I20110106001031 |
| Provider Name | Jeffrey C Chong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376644542 PECOS PAC ID: 9234396714 Enrollment ID: I20120210000711 |
| Provider Name | Denise Phan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477656395 PECOS PAC ID: 6305994583 Enrollment ID: I20120319000330 |
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