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Organization
PANACEA GROUP, INC.
Active
Organization
PANACEA GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON KARIMIAN (CEO)
(323) 333-7576
Entity
Organization
Contact information
Practice address
5419 W SUNSET BLVD STE 235, LOS ANGELES, CA 90027-5691
(818) 548-4906
(818) 548-5749
Mailing address
5419 W SUNSET BLVD STE 235, LOS ANGELES, CA 90027-5691
(818) 548-4906
(818) 548-5749
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059437
CENTER FOR MEDICARE & MEDICAID SERVICES
CA
Enumeration date
03/20/2013
Last updated
03/20/2013
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