| Medline Health Clinic Inc | |
|
8905 Glenoaks Blvd Unit L Sun Valley CA 91352-2087 | |
| (747) 223-2238 | |
| (747) 223-2165 |
| Full Name | Medline Health Clinic Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8905 Glenoaks Blvd Unit L, Sun Valley, California |
| Authorized Official Name and Position | Heidi Regenass (PRESIDENT) |
| Authorized Official Contact | 7472232238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medline Health Clinic Inc 8905 Glenoaks Blvd Unit L Sun Valley CA 91352-2087 Ph: (747) 223-2238 | Medline Health Clinic Inc 8905 Glenoaks Blvd Unit L Sun Valley CA 91352-2087 Ph: (747) 223-2238 |
| NPI Number | 1689408668 |
|---|---|
| Provider Enumeration Date | 08/30/2024 |
| Last Update Date | 08/30/2024 |
| Medicare PECOS PAC ID | 3173056587 |
|---|---|
| Medicare Enrollment ID | O20241023004190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689408668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Heidi Regenass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225258965 PECOS PAC ID: 3274704176 Enrollment ID: I20200427000698 |
| Provider Name | Mohammed K Hassan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679001564 PECOS PAC ID: 1557783123 Enrollment ID: I20200629000422 |
| Provider Name | Yeranuhi Hambardzumyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295565562 PECOS PAC ID: 7315368099 Enrollment ID: I20240919000544 |
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