| Maurice T. Zagha, M.d., Inc | |
|
16133 Ventura Blvd Ste 300 Encino CA 91436-2428 | |
| (818) 907-6525 | |
| (818) 907-7418 |
| Full Name | Maurice T. Zagha, M.d., Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 16133 Ventura Blvd Ste 300, Encino, California |
| Authorized Official Name and Position | Maurice T. Zagha (OWNER) |
| Authorized Official Contact | 8189076525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maurice T. Zagha, M.d., Inc 16133 Ventura Blvd Ste 300 Encino CA 91436-2428 Ph: (818) 907-6525 | Maurice T. Zagha, M.d., Inc 16133 Ventura Blvd Ste 300 Encino CA 91436-2428 Ph: (818) 907-6525 |
| NPI Number | 1164779781 |
|---|---|
| Provider Enumeration Date | 08/14/2012 |
| Last Update Date | 08/14/2012 |
| Medicare PECOS PAC ID | 0143477059 |
|---|---|
| Medicare Enrollment ID | O20120829000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164779781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A34602 (California) | Primary |
| Provider Name | Maurice T Zagha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457442659 PECOS PAC ID: 1355425398 Enrollment ID: I20120829000071 |
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