Edgar Mehdikhani Md Inc. - Medicare Primary Care in Glendale, CA

Edgar Mehdikhani Md Inc. is a medicare enrolled primary clinic (Internal Medicine - Gastroenterology) in Glendale, California. The current practice location for Edgar Mehdikhani Md Inc. is 222 W Eulalia St Ste 114, Glendale, California. For appointments, you can reach them via phone at (818) 242-8916. The mailing address for Edgar Mehdikhani Md Inc. is 222 W Eulalia St Ste 114, Glendale, California and phone number is (818) 242-8916.

Edgar Mehdikhani Md Inc. is licensed to practice in California (license number A96024). The clinic also participates in the medicare program and its NPI number is 1063789774. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (818) 242-8916.

Contact Information

Edgar Mehdikhani Md Inc.
222 W Eulalia St Ste 114
Glendale
CA 91204-2851
(818) 242-8916
(818) 241-7708

Primary Care Clinic Profile

Full NameEdgar Mehdikhani Md Inc.
SpecialityInternal Medicine
Location222 W Eulalia St Ste 114, Glendale, California
Authorized Official Name and PositionEdgar Mehdikhani (PRESIDENT)
Authorized Official Contact3109278905
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Edgar Mehdikhani Md Inc.
222 W Eulalia St Ste 114
Glendale
CA 91204-2851

Ph: (818) 242-8916
Edgar Mehdikhani Md Inc.
222 W Eulalia St Ste 114
Glendale
CA 91204-2851

Ph: (818) 242-8916

NPI Details:

NPI Number1063789774
Provider Enumeration Date11/23/2011
Last Update Date09/05/2019

Medicare PECOS Information:

Medicare PECOS PAC ID7618131996
Medicare Enrollment IDO20120618000500

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Medical Identifiers

Medical identifiers for Edgar Mehdikhani Md Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063789774NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology A96024 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Edgar Mehdikhani Md Inc. acts as a billing entity for following providers:
Provider NameEdgar Mehdikhani
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1962680348
PECOS PAC ID: 1254523582
Enrollment ID: I20101005001136

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