| Sherman Oaks Integrated Medical Group, Inc. | |
|
4835 Van Nuys Blvd Suite 105 Sherman Oaks CA 91403-2109 | |
| (818) 786-5985 | |
| (818) 786-6849 |
| Full Name | Sherman Oaks Integrated Medical Group, Inc. |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 4835 Van Nuys Blvd, Sherman Oaks, California |
| Authorized Official Name and Position | Bryce Matthews (MINORITY OWNER) |
| Authorized Official Contact | 8187865985 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherman Oaks Integrated Medical Group, Inc. 4835 Van Nuys Blvd Suite 105 Sherman Oaks CA 91403-2109 Ph: (818) 786-5985 | Sherman Oaks Integrated Medical Group, Inc. 4835 Van Nuys Blvd Suite 105 Sherman Oaks CA 91403-2109 Ph: (818) 786-5985 |
| NPI Number | 1588028625 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 04/03/2017 |
| Medicare PECOS PAC ID | 8729368659 |
|---|---|
| Medicare Enrollment ID | O20161209001402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588028625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | A102275 (California) | Primary |
| Provider Name | Bryce Matthews |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164732012 PECOS PAC ID: 7315119922 Enrollment ID: I20111004000179 |
| Provider Name | Adam H Silver |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548465255 PECOS PAC ID: 6305018664 Enrollment ID: I20111010000144 |
| Provider Name | Charles Nguyen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1972716942 PECOS PAC ID: 9537489349 Enrollment ID: I20150519001460 |
| Provider Name | Maria Guevara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316124662 PECOS PAC ID: 5395038822 Enrollment ID: I20160721001011 |
Gary Schneider D O Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4835 Van Nuys Blvd Ste 109, Sherman Oaks, CA 91403 Phone: 818-905-9586 Fax: 818-905-0130 | |
Provision Wound Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15130 Ventura Blvd Ste 251, Sherman Oaks, CA 91403 Phone: 310-269-6644 | |
Joey Brett Md A Professional Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13320 Riverside Dr, Suite 104, Sherman Oaks, CA 91423 Phone: 818-789-0034 Fax: 818-789-0042 | |
Ali Sheybani Medical Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4955 Van Nuys Blvd, Suite 405, Sherman Oaks, CA 91403 Phone: 818-464-4870 Fax: 818-464-4877 | |
Alberto X. Campain, M.d., A Professional Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4940 Van Nuys Blvd., Suite 200, Sherman Oaks, CA 91403 Phone: 818-528-1090 Fax: 818-528-1099 | |
Elite Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4312 Woodman Ave Ste 300, Sherman Oaks, CA 91423 Phone: 818-521-1418 | |
Maximum Care Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4910 Van Nuys Blvd, Suite 306, Sherman Oaks, CA 91403 Phone: 818-426-0886 |