Mission Plaza Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A33998 Issued in CA

Legal business name

MISSION PLAZA MEDICAL GROUP

Practice address

11550 Indian Hills Rd
Ste 380
Mission Hills, CA 91345

Phone

(818) 361-5311

Fax

(818) 837-0042

NPI assigned

Mar 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Palazzolo, MDNPI 1942274212

Title

President

Phone

(818) 361-5311

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Palazzolo, MEDICAL DOCTOR

  • Internal Medicine Physician
  • Mission Hills, CA
  • NPI 1942274212
  NPD Authorized official
• Aram Youssoufian, MD

  • Internal Medicine Physician
  • Mission Hills, CA
  • NPI 1346214327
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538283379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD",
            "address_2": "STE 380",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "91345",
            "telephone_number": "818-361-5311",
            "fax_number": "818-837-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD",
            "address_2": "STE 380",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "91345",
            "telephone_number": "818-361-5311",
            "fax_number": "818-837-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION PLAZA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALAZZOLO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-361-5311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A33998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1942274212",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A339980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gergana Mishkova, DO
• Mission City Community Network, Inc.
• Mission City Community Network,Inc
• Mission Hills Congregate Inc
• Mission Hills Dialysis, LLC
• Artak Mkrtchyan, M.D.
• Gohar Mkrtchyan
• Hermine Mkrtrchyan, PHARM.D.
• Gerrie Mobley
• Jennifer Moffett, MD

• Internal Medicine Physician in Mission Hills, CA
• Providers in Mission Hills, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.