| Henmed Group Inc | |
|
10916 Riverside Dr Toluca Lake CA 91602-2210 | |
| (818) 488-6076 | |
| (818) 210-0281 |
| Full Name | Henmed Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 10916 Riverside Dr, Toluca Lake, California |
| Authorized Official Name and Position | Henry Chih-yang Hung (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8184886076 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henmed Group Inc 10916 Riverside Dr Toluca Lake CA 91602-2210 Ph: (818) 488-6076 | Henmed Group Inc 10916 Riverside Dr Toluca Lake CA 91602-2210 Ph: (818) 488-6076 |
| NPI Number | 1962103952 |
|---|---|
| Provider Enumeration Date | 03/15/2023 |
| Last Update Date | 04/27/2023 |
| Certification Date | 04/27/2023 |
| Medicare PECOS PAC ID | 7911364112 |
|---|---|
| Medicare Enrollment ID | O20230602001237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962103952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Henry Chih-yang Hung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730593682 PECOS PAC ID: 3870863285 Enrollment ID: I20170718001976 |
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