| Starbright Medical Clinic Inc | |
|
17071 Ventura Blvd Ste 104 Encino CA 91316-4142 | |
| (213) 852-6006 | |
| Not Available |
| Full Name | Starbright Medical Clinic Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 17071 Ventura Blvd Ste 104, Encino, California |
| Authorized Official Name and Position | Abdul Rab Khan (CEO/OWNER) |
| Authorized Official Contact | 2138526006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Starbright Medical Clinic Inc 17071 Ventura Blvd Ste 104 Encino CA 91316-4142 Ph: (213) 852-6006 | Starbright Medical Clinic Inc 17071 Ventura Blvd Ste 104 Encino CA 91316-4142 Ph: (213) 852-6006 |
| NPI Number | 1902605108 |
|---|---|
| Provider Enumeration Date | 03/10/2025 |
| Last Update Date | 03/10/2025 |
| Medicare PECOS PAC ID | 2769905488 |
|---|---|
| Medicare Enrollment ID | O20250402002985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902605108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Abdul R Khan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063400380 PECOS PAC ID: 5496788036 Enrollment ID: I20050914001132 |
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