Eden Health Medical Of California Pc | |
4470 W Sunset Blvd Los Angeles CA 90027-6302 | |
(917) 261-4414 | |
Not Available |
Full Name | Eden Health Medical Of California Pc |
---|---|
Speciality | Internal Medicine |
Location | 4470 W Sunset Blvd, Los Angeles, California |
Authorized Official Name and Position | Donald Wayne Jenkins (PRESIDENT) |
Authorized Official Contact | 9172614414 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Eden Health Medical Of California Pc 77 Goodell St Ste 510 Buffalo NY 14203-1258 Ph: () - | Eden Health Medical Of California Pc 4470 W Sunset Blvd Los Angeles CA 90027-6302 Ph: (917) 261-4414 |
NPI Number | 1174106694 |
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Provider Enumeration Date | 05/03/2021 |
Last Update Date | 09/13/2024 |
Certification Date | 09/13/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174106694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
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