| Healthy Hearts Medical Group Inc | |
|
18308 Sherman Way 6 Reseda CA 91335-4432 | |
| (818) 881-8333 | |
| (818) 899-5969 |
| Full Name | Healthy Hearts Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 18308 Sherman Way, Reseda, California |
| Authorized Official Name and Position | Daryoush Y Kashani (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8188995555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Hearts Medical Group Inc 18653 Ventura Blvd 289 Tarzana CA 91356-4103 Ph: (818) 899-5555 | Healthy Hearts Medical Group Inc 18308 Sherman Way 6 Reseda CA 91335-4432 Ph: (818) 881-8333 |
| NPI Number | 1295906402 |
|---|---|
| Provider Enumeration Date | 03/14/2008 |
| Last Update Date | 03/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295906402 | NPI | - | NPPES |
| 00A666981 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A66698 (California) | Primary |
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