| Somagen Healthcare Inc | |
|
16912 San Fernando Mission Blvd Granada Hills CA 91344-4249 | |
| (818) 488-6160 | |
| (818) 923-5386 |
| Full Name | Somagen Healthcare Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 16912 San Fernando Mission Blvd, Granada Hills, California |
| Authorized Official Name and Position | Daniel Lareaux (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8553629773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Somagen Healthcare Inc 750 Otay Lakes Rd # 272 Chula Vista CA 91910-6915 Ph: (855) 362-9773 | Somagen Healthcare Inc 16912 San Fernando Mission Blvd Granada Hills CA 91344-4249 Ph: (818) 488-6160 |
| NPI Number | 1043667660 |
|---|---|
| Provider Enumeration Date | 05/24/2016 |
| Last Update Date | 09/15/2025 |
| Medicare PECOS PAC ID | 6103108345 |
|---|---|
| Medicare Enrollment ID | O20170123002049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043667660 | NPI | - | NPPES |
| Provider Name | Stanley A Azen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457392847 PECOS PAC ID: 1557348539 Enrollment ID: I20040707001029 |
| Provider Name | Gevork Joe Maissian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639320658 PECOS PAC ID: 7618030255 Enrollment ID: I20090108000495 |
| Provider Name | Christina G. Konyashin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477228682 PECOS PAC ID: 1153719901 Enrollment ID: I20211027001216 |
| Provider Name | Eric Omar Vazquez Merced |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477111581 PECOS PAC ID: 4385170547 Enrollment ID: I20241211001095 |
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