| Grand Care Mobile Physicians Inc | |
|
13609 Victory Blvd Ste 125 Van Nuys CA 91401-6410 | |
| (310) 295-0727 | |
| (310) 295-0956 |
| Full Name | Grand Care Mobile Physicians Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 13609 Victory Blvd Ste 125, Van Nuys, California |
| Authorized Official Name and Position | Armen Titizyan (CEO) |
| Authorized Official Contact | 8186877853 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Care Mobile Physicians Inc 13609 Victory Blvd Ste 125 Van Nuys CA 91401-6410 Ph: (310) 295-0727 | Grand Care Mobile Physicians Inc 13609 Victory Blvd Ste 125 Van Nuys CA 91401-6410 Ph: (310) 295-0727 |
| NPI Number | 1114887494 |
|---|---|
| Provider Enumeration Date | 11/17/2025 |
| Last Update Date | 11/17/2025 |
| Certification Date | 11/17/2025 |
| Medicare PECOS PAC ID | 6002396025 |
|---|---|
| Medicare Enrollment ID | O20260217003908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114887494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | () | Secondary |
| Provider Name | L Lee Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407972656 PECOS PAC ID: 0840249553 Enrollment ID: I20050120000382 |
| Provider Name | Armen Titizyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174337232 PECOS PAC ID: 4082956099 Enrollment ID: I20260302003376 |
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