| Innovative Medical Solutions Inc a Medical Group | |
|
14860 Roscoe Blvd Ste 200 Panorama City CA 91402-4683 | |
| (310) 553-5203 | |
| Not Available |
| Full Name | Innovative Medical Solutions Inc a Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 14860 Roscoe Blvd Ste 200, Panorama City, California |
| Authorized Official Name and Position | Glenn a Marshak (OWNER) |
| Authorized Official Contact | 3105535203 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Medical Solutions Inc a Medical Group Po Box 15655 Beverly Hills CA 90209-1655 Ph: (310) 553-5203 | Innovative Medical Solutions Inc a Medical Group 14860 Roscoe Blvd Ste 200 Panorama City CA 91402-4683 Ph: (310) 553-5203 |
| NPI Number | 1972624955 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Medicare PECOS PAC ID | 5294783080 |
|---|---|
| Medicare Enrollment ID | O20050107000871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972624955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | G78454 (California) | Primary |
| Provider Name | Neil D Katchman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053366047 PECOS PAC ID: 1153399019 Enrollment ID: I20040920000520 |
| Provider Name | Tarek I Hassanein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801854450 PECOS PAC ID: 6608837133 Enrollment ID: I20041020000350 |
| Provider Name | Ganesh L Devendra |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083681134 PECOS PAC ID: 2769445253 Enrollment ID: I20041105000461 |
| Provider Name | Glenn a Marshak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104890029 PECOS PAC ID: 9739090200 Enrollment ID: I20050606000195 |
| Provider Name | Conrado C Sevilla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902868540 PECOS PAC ID: 0749210003 Enrollment ID: I20050816000895 |
| Provider Name | Michael Lee |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1730124793 PECOS PAC ID: 0143233312 Enrollment ID: I20060711000413 |
| Provider Name | Josef Lobel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295769230 PECOS PAC ID: 5092711291 Enrollment ID: I20061011000447 |
| Provider Name | Liviu a Chindris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730156472 PECOS PAC ID: 4789585464 Enrollment ID: I20080716000423 |
| Provider Name | Rajesh L Gade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750551503 PECOS PAC ID: 6002976669 Enrollment ID: I20081201000044 |
| Provider Name | Stuart Levine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154312171 PECOS PAC ID: 9234020074 Enrollment ID: I20081205000182 |
| Provider Name | Benjamin K Woo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184811952 PECOS PAC ID: 9537222328 Enrollment ID: I20090105000394 |
| Provider Name | Jonathan C Leiterman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1093897662 PECOS PAC ID: 2365595238 Enrollment ID: I20090727000093 |
| Provider Name | Alex Sahba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619924792 PECOS PAC ID: 1456379361 Enrollment ID: I20100127000934 |
| Provider Name | Muhammad J Memon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689744120 PECOS PAC ID: 6305980335 Enrollment ID: I20100215000403 |
| Provider Name | Michael B Kamiel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669471603 PECOS PAC ID: 3274678982 Enrollment ID: I20100305000586 |
| Provider Name | Ajmal Mohammad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700017712 PECOS PAC ID: 2365570504 Enrollment ID: I20100510000669 |
| Provider Name | Shokoor Abrahim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912083924 PECOS PAC ID: 0244423788 Enrollment ID: I20101018000303 |
| Provider Name | James M Burrows |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790872281 PECOS PAC ID: 2567515489 Enrollment ID: I20101117001546 |
| Provider Name | Herbert Marshak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235232802 PECOS PAC ID: 0547456915 Enrollment ID: I20101124000360 |
| Provider Name | David B Kagan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992965768 PECOS PAC ID: 7517154792 Enrollment ID: I20101214000883 |
| Provider Name | Lawrence Wang |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891713004 PECOS PAC ID: 1355539651 Enrollment ID: I20110103000174 |
| Provider Name | Zainab a Mahmoud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457547697 PECOS PAC ID: 2860676129 Enrollment ID: I20110411000583 |
| Provider Name | Molly M Diaz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558500397 PECOS PAC ID: 2567648066 Enrollment ID: I20110518000283 |
| Provider Name | Parastou Shilian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376785642 PECOS PAC ID: 1658543442 Enrollment ID: I20111021000211 |
| Provider Name | Rafik M Sidrak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821188251 PECOS PAC ID: 2163683988 Enrollment ID: I20120420000594 |
| Provider Name | Mark B Ashby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093060386 PECOS PAC ID: 2365699824 Enrollment ID: I20120906000175 |
| Provider Name | Travis Seung H Oh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083951263 PECOS PAC ID: 6709023427 Enrollment ID: I20130516000160 |
| Provider Name | Andrew M Nixon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386996320 PECOS PAC ID: 3173760733 Enrollment ID: I20130520000300 |
| Provider Name | Mairead J Torsney-weir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669607511 PECOS PAC ID: 7719142868 Enrollment ID: I20131028000718 |
| Provider Name | Youssef S Tanagho |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003029372 PECOS PAC ID: 3577731264 Enrollment ID: I20131111000729 |
| Provider Name | H Gabriel Lipshutz |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1760638282 PECOS PAC ID: 5698929974 Enrollment ID: I20140210001038 |
| Provider Name | Ivan a Soto-arape |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417915315 PECOS PAC ID: 9335213297 Enrollment ID: I20140829000005 |
| Provider Name | Jonathan D Steinberger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861796948 PECOS PAC ID: 3072731934 Enrollment ID: I20140905002540 |
| Provider Name | Elika Derek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427280510 PECOS PAC ID: 3577792365 Enrollment ID: I20141215001501 |
| Provider Name | Lawrence R Rouben |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427003003 PECOS PAC ID: 0446152490 Enrollment ID: I20150221000315 |
| Provider Name | Parastou Farhadian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538496419 PECOS PAC ID: 8224323621 Enrollment ID: I20160824001987 |
| Provider Name | Steven J Narvy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770868986 PECOS PAC ID: 9638399702 Enrollment ID: I20160926001737 |
| Provider Name | Layli Jamali |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598059644 PECOS PAC ID: 8123266046 Enrollment ID: I20161013001222 |
| Provider Name | Evan Rosen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013948959 PECOS PAC ID: 6709930084 Enrollment ID: I20170116000091 |
| Provider Name | Francis O Okpan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891146767 PECOS PAC ID: 9335425925 Enrollment ID: I20170413002684 |
| Provider Name | Erin S Samplin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811382567 PECOS PAC ID: 5092082248 Enrollment ID: I20170518002759 |
| Provider Name | Anna Zvansky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801242664 PECOS PAC ID: 0840567558 Enrollment ID: I20170601000422 |
| Provider Name | Osezemeghonghon O Obilor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427498278 PECOS PAC ID: 8729384946 Enrollment ID: I20170927002549 |
| Provider Name | Dillys K Owusu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396124533 PECOS PAC ID: 8123393089 Enrollment ID: I20171004000037 |
| Provider Name | Maria G Aguilera Nunez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962864116 PECOS PAC ID: 8022362870 Enrollment ID: I20181211001059 |
| Provider Name | Bishoy G Kamel |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1992169643 PECOS PAC ID: 4981949211 Enrollment ID: I20181214001280 |
| Provider Name | Jason P Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487188629 PECOS PAC ID: 3870838147 Enrollment ID: I20181214002823 |
| Provider Name | Michael H Ogata |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285160903 PECOS PAC ID: 6507101342 Enrollment ID: I20181221002222 |
| Provider Name | Dennis Stolpner |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497018782 PECOS PAC ID: 7416299409 Enrollment ID: I20190423000612 |
| Provider Name | Aaron Alexander |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124581129 PECOS PAC ID: 3173856903 Enrollment ID: I20190611002345 |
| Provider Name | Jonathan Youssefzadeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811415631 PECOS PAC ID: 6800128364 Enrollment ID: I20191101001711 |
| Provider Name | Samra Vazirian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346669389 PECOS PAC ID: 1355673682 Enrollment ID: I20191105003020 |
| Provider Name | Alvaro Humberto Tuchan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518269067 PECOS PAC ID: 5991138125 Enrollment ID: I20191202002663 |
| Provider Name | Nicole Comfort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861978900 PECOS PAC ID: 8527491281 Enrollment ID: I20191210003501 |
| Provider Name | Mohammad Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801245063 PECOS PAC ID: 9335574953 Enrollment ID: I20200108001965 |
| Provider Name | Lilit Pilossyan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1356753602 PECOS PAC ID: 3072890821 Enrollment ID: I20200109001435 |
| Provider Name | Heidi Pang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790213494 PECOS PAC ID: 7214358621 Enrollment ID: I20200610001296 |
| Provider Name | Ryan Mark Sherick |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720518202 PECOS PAC ID: 7517380017 Enrollment ID: I20200630002424 |
| Provider Name | Nadiya Ginzburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710419262 PECOS PAC ID: 9436572419 Enrollment ID: I20200709000956 |
| Provider Name | Sam H Hessami |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831167162 PECOS PAC ID: 5890781645 Enrollment ID: I20201123002875 |
| Provider Name | Daniel S Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841724846 PECOS PAC ID: 3870864853 Enrollment ID: I20201209000753 |
| Provider Name | Deacon Emmet Farrell |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1467837377 PECOS PAC ID: 3870921653 Enrollment ID: I20201228000800 |
| Provider Name | Gavin Dawson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073163986 PECOS PAC ID: 3870908924 Enrollment ID: I20210223001327 |
| Provider Name | Anirudh Gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306259668 PECOS PAC ID: 8628484946 Enrollment ID: I20210311002488 |
| Provider Name | Allison N Urbaniak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790377653 PECOS PAC ID: 6800205964 Enrollment ID: I20210503001391 |
| Provider Name | Andrew W Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730778978 PECOS PAC ID: 7315356045 Enrollment ID: I20210511000728 |
| Provider Name | Eugene J Pahk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104350271 PECOS PAC ID: 3274870712 Enrollment ID: I20210520001873 |
| Provider Name | Zeeshan Ahmad |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689216020 PECOS PAC ID: 6103228085 Enrollment ID: I20210714003614 |
| Provider Name | Emily Katherine Ackerman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861887945 PECOS PAC ID: 3274963046 Enrollment ID: I20210802002782 |
| Provider Name | Steven Khoubian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437685146 PECOS PAC ID: 8123398922 Enrollment ID: I20210812003938 |
| Provider Name | Benjamin Rostami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659830545 PECOS PAC ID: 0941549588 Enrollment ID: I20210818002327 |
| Provider Name | Johnpaul Singh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982087847 PECOS PAC ID: 8325396195 Enrollment ID: I20210824002739 |
| Provider Name | Amy Bansal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437569613 PECOS PAC ID: 4789012550 Enrollment ID: I20210831003301 |
| Provider Name | Saira Dar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366412165 PECOS PAC ID: 7911949540 Enrollment ID: I20220113002127 |
| Provider Name | Pranit Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164839775 PECOS PAC ID: 6204108053 Enrollment ID: I20220705001471 |
| Provider Name | Philip E Korsun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053872309 PECOS PAC ID: 8820478977 Enrollment ID: I20220706003843 |
| Provider Name | Wesley K Ghasem |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083068936 PECOS PAC ID: 5799165726 Enrollment ID: I20220707002321 |
| Provider Name | Robert Meyerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629084983 PECOS PAC ID: 9234228354 Enrollment ID: I20220809002812 |
| Provider Name | Ariel Vaughn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740740877 PECOS PAC ID: 3577894047 Enrollment ID: I20221223000370 |
| Provider Name | Jeffrey L Halperin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841752649 PECOS PAC ID: 6901238435 Enrollment ID: I20230124002682 |
| Provider Name | Jacob Schwartz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336897040 PECOS PAC ID: 6103291083 Enrollment ID: I20230406000663 |
| Provider Name | Paul M Kim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154995280 PECOS PAC ID: 5890151609 Enrollment ID: I20230522001859 |
| Provider Name | Annette Grace Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013634823 PECOS PAC ID: 7416314349 Enrollment ID: I20230607002108 |
| Provider Name | Nora L Bedrossian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649774175 PECOS PAC ID: 5991037491 Enrollment ID: I20230620001847 |
| Provider Name | Andrea Ayala Larco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811360811 PECOS PAC ID: 9335507045 Enrollment ID: I20230627002754 |
| Provider Name | Rana Taherian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104272509 PECOS PAC ID: 9739549262 Enrollment ID: I20230717000478 |
| Provider Name | Jose Rodrigo Gonzalez-correa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598360794 PECOS PAC ID: 5496119323 Enrollment ID: I20230912000607 |
| Provider Name | Joshua Youssefzadeh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710509666 PECOS PAC ID: 4981058088 Enrollment ID: I20230922002525 |
| Provider Name | Arash Karimi Afshar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538778261 PECOS PAC ID: 3274987102 Enrollment ID: I20230927000801 |
| Provider Name | Saya Yusa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346803665 PECOS PAC ID: 2062861453 Enrollment ID: I20231211002070 |
| Provider Name | Armita Sadeghi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235665480 PECOS PAC ID: 5294111514 Enrollment ID: I20240515004273 |
| Provider Name | Adriana Ponce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295445369 PECOS PAC ID: 4789123043 Enrollment ID: I20240830000007 |
| Provider Name | Lauren M Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578189429 PECOS PAC ID: 6406279090 Enrollment ID: I20240919000769 |
| Provider Name | Murray Orbuch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245266097 PECOS PAC ID: 1850355082 Enrollment ID: I20241016001757 |
| Provider Name | George Onyewuchi Amadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326604232 PECOS PAC ID: 8123545282 Enrollment ID: I20250513003081 |
| Provider Name | Ava Magdalene Charboneau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497560668 PECOS PAC ID: 1456879790 Enrollment ID: I20250520001300 |
| Provider Name | Karima Ibrahim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922780188 PECOS PAC ID: 8325549413 Enrollment ID: I20250829002436 |
| Provider Name | Julia Gergye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023810678 PECOS PAC ID: 2365932449 Enrollment ID: I20251106004017 |
| Provider Name | Oryan Canon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457177008 PECOS PAC ID: 4688165244 Enrollment ID: I20251112001504 |
| Provider Name | Lian Canon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639995285 PECOS PAC ID: 4789175266 Enrollment ID: I20251112002475 |
| Provider Name | Mika Shin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992275341 PECOS PAC ID: 4486140928 Enrollment ID: I20260105001482 |
| Provider Name | Niama Jacobs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386849560 PECOS PAC ID: 4082848593 Enrollment ID: I20260105002141 |
| Provider Name | Jaqueline Alexis Gorodetsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619730660 PECOS PAC ID: 7113406356 Enrollment ID: I20260209002353 |
Panorama Professional Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9561 Van Nuys Blvd, Panorama City, CA 91402 Phone: 818-892-4301 Fax: 818-891-7996 |
Santo Nino Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14427 Chase St Ste 100, Panorama City, CA 91402 Phone: 818-830-7751 Fax: 818-891-7892 |
Valley View Family Medical Clinic,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14400 Roscoe Blvd Ste B, Panorama City, CA 91402 Phone: 818-830-6888 Fax: 818-830-6891 |
Mission City Community Network,inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8771 Van Nuys Blvd, Panorama City, CA 91402 Phone: 818-895-3100 Fax: 818-893-9464 |
Accretive Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14860 Roscoe Blvd Ste 200, Panorama City, CA 91402 Phone: 310-871-8651 |
Cyrus Lavian MD Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15310 Roscoe Blvd, Panorama City, CA 91402 Phone: 818-830-9999 |