| United American Indian Involvement | |
|
1453 W Temple Street Los Angeles CA 90026 | |
| (213) 202-3970 | |
| (213) 975-9257 |
| Full Name | United American Indian Involvement |
|---|---|
| Speciality | Clinic/Center |
| Location | 1453 W Temple Street, Los Angeles, California |
| Authorized Official Name and Position | Ana Cruz (BILLER/CODER) |
| Authorized Official Contact | 2132023970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United American Indian Involvement 1453 W Temple Street Los Angeles CA 90026 Ph: (213) 202-3970 | United American Indian Involvement 1453 W Temple Street Los Angeles CA 90026 Ph: (213) 202-3970 |
| NPI Number | 1740335678 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 10/29/2024 |
| Medicare PECOS PAC ID | 2365591922 |
|---|---|
| Medicare Enrollment ID | O20111011000342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740335678 | NPI | - | NPPES |
| CMM71157F | Medicaid | CA |
| Provider Name | Norma L Blackwater |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1457476038 PECOS PAC ID: 9133392988 Enrollment ID: I20111024000356 |
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