| Horizon Multicare Group Inc | |
|
1600 W Avenue J Lancaster CA 93534-2814 | |
| (661) 582-6032 | |
| (661) 726-6256 |
| Full Name | Horizon Multicare Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1600 W Avenue J, Lancaster, California |
| Authorized Official Name and Position | Ferdinand Panoussi (PRESIDENT) |
| Authorized Official Contact | 6615826032 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon Multicare Group Inc 19197 Golden Valley Rd # 935 Santa Clarita CA 91387-1428 Ph: (661) 582-6032 | Horizon Multicare Group Inc 1600 W Avenue J Lancaster CA 93534-2814 Ph: (661) 582-6032 |
| NPI Number | 1598130569 |
|---|---|
| Provider Enumeration Date | 12/02/2015 |
| Last Update Date | 08/24/2021 |
| Medicare PECOS PAC ID | 5294033734 |
|---|---|
| Medicare Enrollment ID | O20160415001483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598130569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A10970 (California) | Primary |
| Provider Name | Otis D Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104909688 PECOS PAC ID: 9133127038 Enrollment ID: I20090330000138 |
| Provider Name | Ferdinand J Panoussi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144493131 PECOS PAC ID: 7911022900 Enrollment ID: I20100914001037 |
| Provider Name | Namiko Nerio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568747947 PECOS PAC ID: 3375709579 Enrollment ID: I20120716000220 |
| Provider Name | Jennifer B Michael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366612749 PECOS PAC ID: 2264620707 Enrollment ID: I20121108000161 |
| Provider Name | Xiao H Wan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851616775 PECOS PAC ID: 4688825037 Enrollment ID: I20121112000129 |
| Provider Name | William Dechavez Convalecer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699794594 PECOS PAC ID: 5991709669 Enrollment ID: I20130828000859 |
| Provider Name | Naira L Manukian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194016204 PECOS PAC ID: 2062648256 Enrollment ID: I20131118000801 |
| Provider Name | Atef Mousa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891006565 PECOS PAC ID: 5597993824 Enrollment ID: I20140114000514 |
| Provider Name | Anil Ravi Date |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972860864 PECOS PAC ID: 4688839582 Enrollment ID: I20140314000939 |
| Provider Name | Thinn Thinn Wah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023418878 PECOS PAC ID: 4486966561 Enrollment ID: I20150701002648 |
| Provider Name | Simone Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386999167 PECOS PAC ID: 6507166923 Enrollment ID: I20160212001921 |
| Provider Name | Pejman G Mansourian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336582477 PECOS PAC ID: 2860770401 Enrollment ID: I20161101002787 |
| Provider Name | Karina Razo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942745427 PECOS PAC ID: 0244515898 Enrollment ID: I20170321002343 |
| Provider Name | Ararat A Avetisyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649680471 PECOS PAC ID: 8224301015 Enrollment ID: I20170829004460 |
| Provider Name | Maria Jesusa B Tan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770098527 PECOS PAC ID: 3870855935 Enrollment ID: I20180329002098 |
| Provider Name | Sheryl Laurissa Recinos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629483417 PECOS PAC ID: 0547518599 Enrollment ID: I20180807002924 |
| Provider Name | Mohamed Aly Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205270964 PECOS PAC ID: 6507146990 Enrollment ID: I20180828001471 |
| Provider Name | Pye Aung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063894814 PECOS PAC ID: 3678817889 Enrollment ID: I20181128003512 |
| Provider Name | Saima Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689836736 PECOS PAC ID: 3274667530 Enrollment ID: I20181205001985 |
| Provider Name | Aarushi Ramesh Parekh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881053205 PECOS PAC ID: 8224375340 Enrollment ID: I20190128003488 |
| Provider Name | Misbah Y Palla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255726261 PECOS PAC ID: 5991089161 Enrollment ID: I20190325000440 |
| Provider Name | John Anthony Bretana Teotico |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942792023 PECOS PAC ID: 1557604246 Enrollment ID: I20230714000857 |
| Provider Name | Victor Liao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760007116 PECOS PAC ID: 8820452121 Enrollment ID: I20230919002629 |
| Provider Name | George Husari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114554987 PECOS PAC ID: 2668826454 Enrollment ID: I20230927003326 |
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