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 provides Family Medicine Physician services 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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