| Abraham Golbari, M.d. A Medical Corportation | |
|
14030 Crenshaw Blvd Gardena CA 90249-2715 | |
| (310) 327-8746 | |
| (310) 327-8748 |
| Full Name | Abraham Golbari, M.d. A Medical Corportation |
|---|---|
| Speciality | Internal Medicine |
| Location | 14030 Crenshaw Blvd, Gardena, California |
| Authorized Official Name and Position | Abraham Golbari (MEDICAL DOCTOR/OWNER) |
| Authorized Official Contact | 3103278746 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abraham Golbari, M.d. A Medical Corportation 14030 Crenshaw Blvd Gardena CA 90249-2715 Ph: (310) 327-8746 | Abraham Golbari, M.d. A Medical Corportation 14030 Crenshaw Blvd Gardena CA 90249-2715 Ph: (310) 327-8746 |
| NPI Number | 1396047775 |
|---|---|
| Provider Enumeration Date | 11/17/2010 |
| Last Update Date | 11/17/2010 |
| Medicare PECOS PAC ID | 1759578727 |
|---|---|
| Medicare Enrollment ID | O20101203000543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396047775 | NPI | - | NPPES |
| 00A553870 | Medicaid | CA | |
| 1639216468 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A55387 (California) | Primary |
| Provider Name | Abraham Golbari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639216468 PECOS PAC ID: 8325235096 Enrollment ID: I20101207001104 |
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