Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eagle Rock Medical Center

Organization Family Medicine Physician · NPI 1972283760

Eagle Rock Medical Center is a Family Medicine Physician in Los Angeles, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4867 Eagle Rock Blvd Ste 1
Los Angeles, CA 90041-2649
Phone: (323) 254-6754
Fax: (323) 257-5949
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1972283760
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ayuna Panossian — Owner · (323) 254-6754
NPI enumeratedJuly 18, 2023
Last updated in NPPESJuly 25, 2023
Certification dateJuly 25, 2023
Mailing address4867 Eagle Rock Blvd Ste 1, Los Angeles, CA 90041-2649

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