| Midvalley Medical Center Inc. | |
|
14550 Archwood St # 106 Van Nuys CA 91405-4604 | |
| (818) 951-5540 | |
| (818) 851-5544 |
| Full Name | Midvalley Medical Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 14550 Archwood St # 106, Van Nuys, California |
| Authorized Official Name and Position | Elsagav Shaham (MD) |
| Authorized Official Contact | 8188515540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midvalley Medical Center Inc. 14550 Archwood St # 106 Van Nuys CA 91405-4604 Ph: (818) 951-5540 | Midvalley Medical Center Inc. 14550 Archwood St # 106 Van Nuys CA 91405-4604 Ph: (818) 951-5540 |
| NPI Number | 1821734732 |
|---|---|
| Provider Enumeration Date | 05/12/2022 |
| Last Update Date | 05/12/2022 |
| Certification Date | 05/12/2022 |
| Medicare PECOS PAC ID | 5597146506 |
|---|---|
| Medicare Enrollment ID | O20220722000739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821734732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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