MEDICARE: BEST CARE MEDICAL MANAGEMENT INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	PHY44176	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770579518
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST CARE MEDICAL MANAGEMENT INC

Provider Business Mailing Address
First Line	:	501 W GLENOAKS BLVD
Second Line	:	STE 12
City	:	GLENDALE
State	:	CA
Zip	:	91202-3395
Country	:	US
Telephone Number	:	818-500-1517
Fax Number	:	818-500-1519

Provider Business Practice Location Address
First Line	:	501 W GLENOAKS BLVD
Second Line	:	STE 12
City	:	GLENDALE
State	:	CA
Zip	:	91202-3395
Country	:	US
Telephone Number	:	818-500-1517
Fax Number	:	818-500-1519

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PETER BAGDASARIAN
Credential	:
Telephone Number	:	818-500-1517

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	01/14/2010

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Directions to “BEST CARE MEDICAL MANAGEMENT INC ” Practice Location

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