| Fhmc Group Inc | |
|
9043 Woodman Ave Ste C Arleta CA 91331-6493 | |
| (818) 221-3096 | |
| (818) 221-3098 |
| Full Name | Fhmc Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9043 Woodman Ave Ste C, Arleta, California |
| Authorized Official Name and Position | Edgar Corrales Banez (PRESIDENT) |
| Authorized Official Contact | 8182213103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fhmc Group Inc 9043 Woodman Ave Ste C Arleta CA 91331-6493 Ph: (818) 221-3096 | Fhmc Group Inc 9043 Woodman Ave Ste C Arleta CA 91331-6493 Ph: (818) 221-3096 |
| NPI Number | 1790306074 |
|---|---|
| Provider Enumeration Date | 04/28/2020 |
| Last Update Date | 04/28/2020 |
| Medicare PECOS PAC ID | 7012331127 |
|---|---|
| Medicare Enrollment ID | O20200722002421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790306074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Edgar C Banez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275644098 PECOS PAC ID: 6406821115 Enrollment ID: I20040826001312 |
| Provider Name | Samuel Leibovici |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063585164 PECOS PAC ID: 4183727753 Enrollment ID: I20161012002340 |
| Provider Name | Marie Sinaii |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821557380 PECOS PAC ID: 5294159307 Enrollment ID: I20210901003513 |
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