| Los Angeles General Medical Center | |
|
1720 E 120th St Fl 2 Los Angeles CA 90059-3052 | |
| (424) 338-2500 | |
| Not Available |
| Full Name | Los Angeles General Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1720 E 120th St Fl 2, Los Angeles, California |
| Authorized Official Name and Position | Jorge Orozco (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3234092800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Los Angeles General Medical Center 1000 S. Fremont Ave., Unit #9 Bldg A11, Ground Fl., Suite A11010 Alhambra CA 91803-8801 Ph: (626) 525-6076 | Los Angeles General Medical Center 1720 E 120th St Fl 2 Los Angeles CA 90059-3052 Ph: (424) 338-2500 |
| NPI Number | 1356350318 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 07/18/2023 |
| Certification Date | 07/18/2023 |
| Medicare PECOS PAC ID | 1850296534 |
|---|---|
| Medicare Enrollment ID | O20120329000563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356350318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 60000130 (California) | Primary |
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