Pacoima Primary Care Medical Clinic - Primary Care in Pacoima, CA

Pacoima Primary Care Medical Clinic is a primary clinic (Family Medicine) in Pacoima, California. The current practice location for Pacoima Primary Care Medical Clinic is 12502 Van Nuys Blvd, 104, Pacoima, California. For appointments, you can reach them via phone at (818) 899-5555. The mailing address for Pacoima Primary Care Medical Clinic is 18653 Ventura Blvd, 289, Tarzana, California and phone number is (818) 899-5555.

Pacoima Primary Care Medical Clinic is licensed to practice in * (Not Available) (license number ) and its NPI number is 1467511592. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (818) 899-5555.

Contact Information

Pacoima Primary Care Medical Clinic
12502 Van Nuys Blvd
104
Pacoima
CA 91331
(818) 899-5555
(818) 899-5969

Primary Care Clinic Profile

Full NamePacoima Primary Care Medical Clinic
SpecialityFamily Medicine
Location12502 Van Nuys Blvd, Pacoima, California
Authorized Official Name and PositionDaryoush Yallya Kashani (PRESIDENT)
Authorized Official Contact8188995555
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pacoima Primary Care Medical Clinic
18653 Ventura Blvd
289
Tarzana
CA 91356

Ph: (818) 899-5555
Pacoima Primary Care Medical Clinic
12502 Van Nuys Blvd
104
Pacoima
CA 91331

Ph: (818) 899-5555

NPI Details:

NPI Number1467511592
Provider Enumeration Date12/06/2006
Last Update Date08/22/2020

Medical Identifiers

Medical identifiers for Pacoima Primary Care Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467511592NPI-NPPES
00A666980MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

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Family Medicine in Pacoima, CA

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