| Pure Mobile Health Inc. | |
|
1800 S Brand Blvd Ste 119 Glendale CA 91204-3551 | |
| (818) 913-5470 | |
| Not Available |
| Full Name | Pure Mobile Health Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1800 S Brand Blvd Ste 119, Glendale, California |
| Authorized Official Name and Position | Elvis Shahbazyan (CEO) |
| Authorized Official Contact | 8189135470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Mobile Health Inc. 1800 S Brand Blvd Ste 119 Glendale CA 91204-3551 | Pure Mobile Health Inc. 1800 S Brand Blvd Ste 119 Glendale CA 91204-3551 Ph: (818) 913-5470 |
| NPI Number | 1194606673 |
|---|---|
| Provider Enumeration Date | 09/10/2025 |
| Last Update Date | 09/10/2025 |
| Certification Date | 09/10/2025 |
| Medicare PECOS PAC ID | 5193217933 |
|---|---|
| Medicare Enrollment ID | O20251119004510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194606673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| Provider Name | Antonious J Abraham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003434275 PECOS PAC ID: 3072984673 Enrollment ID: I20230118001725 |
| Provider Name | Maria J Ordenana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063157352 PECOS PAC ID: 2365813912 Enrollment ID: I20230119000652 |
| Provider Name | Tamara S Pippin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508569567 PECOS PAC ID: 8628422532 Enrollment ID: I20231012000085 |
| Provider Name | Lilia Mkhitaryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326789595 PECOS PAC ID: 4880126853 Enrollment ID: I20241015003015 |
| Provider Name | Diana Minasyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386467801 PECOS PAC ID: 1759895923 Enrollment ID: I20250709002611 |
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