| Practica Inc | |
|
333 N Hill Ave 101 Pasadena CA 91106-1570 | |
| (626) 318-2484 | |
| Not Available |
| Full Name | Practica Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 333 N Hill Ave, Pasadena, California |
| Authorized Official Name and Position | Vahe Melkonyan (PRESIDENT) |
| Authorized Official Contact | 6263182484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Practica Inc 257 S Hudson Ave Unit 304 Pasadena CA 91101-4324 Ph: (626) 318-2484 | Practica Inc 333 N Hill Ave 101 Pasadena CA 91106-1570 Ph: (626) 318-2484 |
| NPI Number | 1952672032 |
|---|---|
| Provider Enumeration Date | 01/20/2012 |
| Last Update Date | 01/20/2012 |
| Medicare PECOS PAC ID | 5890953616 |
|---|---|
| Medicare Enrollment ID | O20120225000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952672032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A97645 (California) | Primary |
| Provider Name | Craig V Smith |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023049483 PECOS PAC ID: 1759388556 Enrollment ID: I20061108000232 |
| Provider Name | Vahe Melkonyan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1073664934 PECOS PAC ID: 6103926266 Enrollment ID: I20070703000360 |
| Provider Name | David J Moore |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1205984085 PECOS PAC ID: 1153485263 Enrollment ID: I20090203000678 |
| Provider Name | Aren Panoyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740698794 PECOS PAC ID: 7113290966 Enrollment ID: I20170830002105 |
| Provider Name | Gayane V Sargsyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952025058 PECOS PAC ID: 8123492329 Enrollment ID: I20230329000931 |
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