| Pascual Medical Center Inc | |
|
12805 Victory Blvd N Hollywood CA 91606-3012 | |
| (279) 260-4440 | |
| Not Available |
| Full Name | Pascual Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 12805 Victory Blvd, N Hollywood, California |
| Authorized Official Name and Position | Phillip Kim (CEO/OWNER) |
| Authorized Official Contact | 2792604440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pascual Medical Center Inc 12805 Victory Blvd N Hollywood CA 91606-3012 Ph: (279) 260-4440 | Pascual Medical Center Inc 12805 Victory Blvd N Hollywood CA 91606-3012 Ph: (279) 260-4440 |
| NPI Number | 1093516445 |
|---|---|
| Provider Enumeration Date | 03/21/2025 |
| Last Update Date | 05/08/2025 |
| Medicare PECOS PAC ID | 2668998139 |
|---|---|
| Medicare Enrollment ID | O20250428002782 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093516445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Philip Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356781132 PECOS PAC ID: 5496054330 Enrollment ID: I20200715002512 |
Image M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12805 Victory Blvd, N Hollywood, CA 91606 Phone: 818-506-5906 | |
Mqm Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12826 Victory Blvd Ste E, N Hollywood, CA 91606 Phone: 818-583-0055 Fax: 818-583-0054 | |
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Tdj Md Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12826 Victory Blvd Ste E, N Hollywood, CA 91606 Phone: 818-583-0050 | |
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