| Edwin Mirzabeigi MD P.C. | |
|
8215 Van Nuys Blvd Ste 106 Panorama City CA 91402-4828 | |
| (818) 416-9484 | |
| Not Available |
| Full Name | Edwin Mirzabeigi MD P.C. |
|---|---|
| Speciality | General Practice |
| Location | 8215 Van Nuys Blvd Ste 106, Panorama City, California |
| Authorized Official Name and Position | Edwin Mirzabeigi (OWNER) |
| Authorized Official Contact | 8184169484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwin Mirzabeigi MD P.C. 466 Foothill Blvd # 189 La Canada CA 91011-3518 Ph: (818) 416-9484 | Edwin Mirzabeigi MD P.C. 8215 Van Nuys Blvd Ste 106 Panorama City CA 91402-4828 Ph: (818) 416-9484 |
| NPI Number | 1346115144 |
|---|---|
| Provider Enumeration Date | 10/09/2025 |
| Last Update Date | 10/09/2025 |
| Certification Date | 10/09/2025 |
| Medicare PECOS PAC ID | 5698268993 |
|---|---|
| Medicare Enrollment ID | O20251204003172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346115144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Edwin Mirzabeigi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184865404 PECOS PAC ID: 6709063472 Enrollment ID: I20171012003198 |
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