| Joey Brett Md A Professional Medical Corporation | |
|
13320 Riverside Dr Suite 104 Sherman Oaks CA 91423-2502 | |
| (818) 789-0034 | |
| (818) 789-0042 |
| Full Name | Joey Brett Md A Professional Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 13320 Riverside Dr, Sherman Oaks, California |
| Authorized Official Name and Position | Joey Brett (CEO) |
| Authorized Official Contact | 8187890034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joey Brett Md A Professional Medical Corporation 12400 Ventura Blvd # 738 Studio City CA 91604-2406 Ph: (818) 789-0034 | Joey Brett Md A Professional Medical Corporation 13320 Riverside Dr Suite 104 Sherman Oaks CA 91423-2502 Ph: (818) 789-0034 |
| NPI Number | 1003927872 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 02/19/2008 |
| Medicare PECOS PAC ID | 7416973524 |
|---|---|
| Medicare Enrollment ID | O20051018001058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003927872 | NPI | - | NPPES |
| 1003927872 | Other | CA | NPI |
| 00A551020 | Other | CA | MEDI-CAL NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A55102 (California) | Primary |
| Provider Name | Joey A Brett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831199017 PECOS PAC ID: 1557399706 Enrollment ID: I20050729000575 |
Gary Schneider D O Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4835 Van Nuys Blvd Ste 109, Sherman Oaks, CA 91403 Phone: 818-905-9586 Fax: 818-905-0130 | |
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