| Sas Medical Management | |
|
800 S Central Ave Ste 301 Glendale CA 91204-4388 | |
| (323) 369-9954 | |
| Not Available |
| Full Name | Sas Medical Management |
|---|---|
| Speciality | General Practice |
| Location | 800 S Central Ave Ste 301, Glendale, California |
| Authorized Official Name and Position | Artyom Petrosyan (OWNER) |
| Authorized Official Contact | 3233699954 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sas Medical Management 800 S Central Ave Ste 301 Glendale CA 91204-4388 Ph: (323) 369-9954 | Sas Medical Management 800 S Central Ave Ste 301 Glendale CA 91204-4388 Ph: (323) 369-9954 |
| NPI Number | 1811879778 |
|---|---|
| Provider Enumeration Date | 07/22/2025 |
| Last Update Date | 07/22/2025 |
| Certification Date | 07/22/2025 |
| Medicare PECOS PAC ID | 8224538921 |
|---|---|
| Medicare Enrollment ID | O20250826003794 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811879778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Philip H Lee |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1992981161 PECOS PAC ID: 7113086760 Enrollment ID: I20081111000564 |
| Provider Name | Karmen a Padfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548883002 PECOS PAC ID: 9931107794 Enrollment ID: I20211117002746 |
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