| Noalab Medical Clinic Inc | |
|
6428 Coldwater Canyon Ave North Hollywood CA 91606-1113 | |
| (818) 308-6440 | |
| (818) 308-6351 |
| Full Name | Noalab Medical Clinic Inc |
|---|---|
| Speciality | General Practice |
| Location | 6428 Coldwater Canyon Ave, North Hollywood, California |
| Authorized Official Name and Position | Jihad S Al-imami (PRESIDENT/CEO) |
| Authorized Official Contact | 8183086440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Noalab Medical Clinic Inc 6428 Coldwater Canyon Ave North Hollywood CA 91606-1113 Ph: (818) 308-6440 | Noalab Medical Clinic Inc 6428 Coldwater Canyon Ave North Hollywood CA 91606-1113 Ph: (818) 308-6440 |
| NPI Number | 1619226347 |
|---|---|
| Provider Enumeration Date | 09/10/2012 |
| Last Update Date | 09/10/2012 |
| Medicare PECOS PAC ID | 1456500875 |
|---|---|
| Medicare Enrollment ID | O20120928000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619226347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A30092 (California) | Primary |
| Provider Name | Hovsep G Mahdessian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659544203 PECOS PAC ID: 9133279284 Enrollment ID: I20090610000584 |
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