West La Medical Group | |
17609 Ventura Blvd Ste Ll08 Encino CA 91316-5135 | |
(818) 774-2755 | |
Not Available |
Full Name | West La Medical Group |
---|---|
Speciality | Surgery |
Location | 17609 Ventura Blvd Ste Ll08, Encino, California |
Authorized Official Name and Position | Hooman Shabatian (DIRECTOR) |
Authorized Official Contact | 8187742755 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
West La Medical Group 17609 Ventura Blvd Ste Ll08 Encino CA 91316-5135 Ph: (818) 774-2755 | West La Medical Group 17609 Ventura Blvd Ste Ll08 Encino CA 91316-5135 Ph: (818) 774-2755 |
NPI Number | 1598462749 |
---|---|
Provider Enumeration Date | 02/08/2023 |
Last Update Date | 05/14/2025 |
Medicare PECOS PAC ID | 1658735568 |
---|---|
Medicare Enrollment ID | O20230911004167 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598462749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
208600000X | Surgery | (* (Not Available)) | Primary |
Provider Name | Maged S Mikhail |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1316978299 PECOS PAC ID: 2062503626 Enrollment ID: I20070810000495 |
Provider Name | Hooman Shabatian |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1720201379 PECOS PAC ID: 4385723105 Enrollment ID: I20080506000180 |
Provider Name | Khashayar Sarabi |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1467650846 PECOS PAC ID: 7618219841 Enrollment ID: I20190508001917 |
Provider Name | Shahram Salimitari |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1043419484 PECOS PAC ID: 9436341344 Enrollment ID: I20220809000841 |
Provider Name | Graviela Barrios |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538943386 PECOS PAC ID: 2466891171 Enrollment ID: I20240415001295 |
Mona Tabib Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16661 Ventura Blvd, Suite 211, Encino, CA 91436 Phone: 818-789-7893 Fax: 818-789-2346 | |
Horizons In Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17777 Ventura Blvd, Suite 120, Encino, CA 91316 Phone: 917-685-7531 Fax: 310-954-9199 | |
Lahiji Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16311 Ventura Blvd, Suite 907, Encino, CA 91436 Phone: 818-907-7070 Fax: 818-907-7157 | |
Medical Weight Loss Institute, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16952 Ventura Blvd Ste 200-b, Encino, CA 91316 Phone: 818-789-3964 Fax: 818-789-3967 | |
Prime Care Medical Solutions Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5535 Balboa Blvd Ste 104, Encino, CA 91316 Phone: 818-922-2140 | |
Sati Welllness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16055 Ventura Blvd, Suite 712, Encino, CA 91436 Phone: 818-386-1395 Fax: 888-882-6061 | |
Wound Care Solutions Of California Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5535 Balboa Blvd Ste 200k, Encino, CA 91316 Phone: 818-262-0035 |