| Parviz Amini A Medical Corp | |
|
8435 Reseda Blvd Northridge CA 91324-4625 | |
| (818) 998-6000 | |
| Not Available |
| Full Name | Parviz Amini A Medical Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 8435 Reseda Blvd, Northridge, California |
| Authorized Official Name and Position | Parviz Amini (PRESIDENT) |
| Authorized Official Contact | 8189986000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parviz Amini A Medical Corp 8435 Reseda Blvd Northridge CA 91324-4625 Ph: (818) 998-6000 | Parviz Amini A Medical Corp 8435 Reseda Blvd Northridge CA 91324-4625 Ph: (818) 998-6000 |
| NPI Number | 1447421508 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 07/07/2008 |
| Medicare PECOS PAC ID | 8123197340 |
|---|---|
| Medicare Enrollment ID | O20080514000447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447421508 | NPI | - | NPPES |
| 00A487400 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A48470 (California) | Primary |
| Provider Name | Parviz Amini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942230495 PECOS PAC ID: 8022187228 Enrollment ID: I20080514000239 |
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