| Libertymed Health Group Inc | |
|
900 W Glenoaks Blvd Ste D Glendale CA 91202-2664 | |
| (818) 241-4129 | |
| (818) 241-0472 |
| Full Name | Libertymed Health Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 900 W Glenoaks Blvd Ste D, Glendale, California |
| Authorized Official Name and Position | Rima Voskani (MANAGER) |
| Authorized Official Contact | 8182482000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Libertymed Health Group Inc 900 W Glenoaks Blvd Ste D Glendale CA 91202-2664 Ph: (818) 241-4129 | Libertymed Health Group Inc 900 W Glenoaks Blvd Ste D Glendale CA 91202-2664 Ph: (818) 241-4129 |
| NPI Number | 1558920843 |
|---|---|
| Provider Enumeration Date | 06/10/2019 |
| Last Update Date | 02/12/2024 |
| Medicare PECOS PAC ID | 4880921485 |
|---|---|
| Medicare Enrollment ID | O20190805002871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558920843 | NPI | - | NPPES |
| 1285183269 | Medicaid | CA | |
| 1053706234 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Arthur Babakhanians |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285183269 PECOS PAC ID: 2961781679 Enrollment ID: I20170328002210 |
| Provider Name | Ara Shafrazian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053706234 PECOS PAC ID: 1850682923 Enrollment ID: I20181116001761 |
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