| New Heights Medical Group | |
|
303 N Glenoaks Blvd Ste 200 Burbank CA 91502-1118 | |
| (323) 388-6398 | |
| Not Available |
| Full Name | New Heights Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 303 N Glenoaks Blvd Ste 200, Burbank, California |
| Authorized Official Name and Position | Remedios Santiago (PRESIDENT/CEO) |
| Authorized Official Contact | 3233886398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Heights Medical Group 303 N Glenoaks Blvd Ste 200 Burbank CA 91502-1118 Ph: (323) 388-6398 | New Heights Medical Group 303 N Glenoaks Blvd Ste 200 Burbank CA 91502-1118 Ph: (323) 388-6398 |
| NPI Number | 1215501077 |
|---|---|
| Provider Enumeration Date | 05/17/2021 |
| Last Update Date | 05/17/2021 |
| Medicare PECOS PAC ID | 6305237637 |
|---|---|
| Medicare Enrollment ID | O20211221002920 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215501077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Hanan Lobel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174612287 PECOS PAC ID: 8628250529 Enrollment ID: I20110315000103 |
| Provider Name | Eun K Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194226936 PECOS PAC ID: 5698020279 Enrollment ID: I20180622001156 |
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