| Noho Medical Center Inc | |
|
12805 Victory Blvd North Hollywood CA 91606-3012 | |
| (213) 293-2323 | |
| (213) 290-9191 |
| Full Name | Noho Medical Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12805 Victory Blvd, North Hollywood, California |
| Authorized Official Name and Position | Edward Nana Opoku (CEO) |
| Authorized Official Contact | 3239743211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Noho Medical Center Inc 12805 Victory Blvd North Hollywood CA 91606-3012 Ph: (213) 293-2323 | Noho Medical Center Inc 12805 Victory Blvd North Hollywood CA 91606-3012 Ph: (213) 293-2323 |
| NPI Number | 1326829367 |
|---|---|
| Provider Enumeration Date | 10/06/2023 |
| Last Update Date | 10/06/2023 |
| Medicare PECOS PAC ID | 7416304050 |
|---|---|
| Medicare Enrollment ID | O20231103001773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326829367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Edward Nana Opoku |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1982989380 PECOS PAC ID: 5092089425 Enrollment ID: I20230807001798 |
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