| Lev Grinman Md 3 Professional Corporation | |
|
450 N Brand Blvd Ste 600 Glendale CA 91203-2349 | |
| (818) 369-1170 | |
| Not Available |
| Full Name | Lev Grinman Md 3 Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 450 N Brand Blvd Ste 600, Glendale, California |
| Authorized Official Name and Position | Lev Grinman (PRESIDENT) |
| Authorized Official Contact | 6466731660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lev Grinman Md 3 Professional Corporation 329 S Oyster Bay Rd # 2059 Plainview NY 11803-3301 Ph: (818) 369-1170 | Lev Grinman Md 3 Professional Corporation 450 N Brand Blvd Ste 600 Glendale CA 91203-2349 Ph: (818) 369-1170 |
| NPI Number | 1033975065 |
|---|---|
| Provider Enumeration Date | 02/27/2024 |
| Last Update Date | 09/09/2025 |
| Medicare PECOS PAC ID | 6608316856 |
|---|---|
| Medicare Enrollment ID | O20240913003011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033975065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | William A Pullen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104977248 PECOS PAC ID: 1759574502 Enrollment ID: I20101025000826 |
| Provider Name | John Edrik Michael Landerito Brillante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134795339 PECOS PAC ID: 5698173094 Enrollment ID: I20211015001914 |
| Provider Name | Erica Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356162804 PECOS PAC ID: 2769916469 Enrollment ID: I20241115003941 |
| Provider Name | Angel P Pabalan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457164238 PECOS PAC ID: 2860913647 Enrollment ID: I20250310001793 |
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