| Affordable Medical Center & Urgent Care Inc | |
|
819 S Vermont Ave Los Angeles CA 90005-1522 | |
| (323) 300-5266 | |
| (213) 568-3077 |
| Full Name | Affordable Medical Center & Urgent Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 819 S Vermont Ave, Los Angeles, California |
| Authorized Official Name and Position | Alfred Luis Cisneros (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3239680302 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affordable Medical Center & Urgent Care Inc 819 S Vermont Ave Los Angeles CA 90005-1522 Ph: (323) 968-0302 | Affordable Medical Center & Urgent Care Inc 819 S Vermont Ave Los Angeles CA 90005-1522 Ph: (323) 300-5266 |
| NPI Number | 1972146843 |
|---|---|
| Provider Enumeration Date | 10/23/2019 |
| Last Update Date | 11/09/2020 |
| Medicare PECOS PAC ID | 1658704549 |
|---|---|
| Medicare Enrollment ID | O20191206001748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972146843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Zinovy N Lekht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427093236 PECOS PAC ID: 1052218997 Enrollment ID: I20031217001011 |
| Provider Name | Khanh Ngoc Tuan Duong |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295754125 PECOS PAC ID: 8527959436 Enrollment ID: I20040322000912 |
| Provider Name | Ira K Grove |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1659327112 PECOS PAC ID: 1052303526 Enrollment ID: I20040402000585 |
| Provider Name | Robert T Hatanaka |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487621801 PECOS PAC ID: 5496703050 Enrollment ID: I20050110001200 |
| Provider Name | Steven L Rosenblatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134142201 PECOS PAC ID: 3072596642 Enrollment ID: I20091223000141 |
| Provider Name | Nick T Nguyen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992977649 PECOS PAC ID: 3072841832 Enrollment ID: I20190819001791 |
| Provider Name | Alfred Luis Cisneros |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1689895856 PECOS PAC ID: 4880028612 Enrollment ID: I20200106001870 |
| Provider Name | Nariman Nassiri |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174056857 PECOS PAC ID: 8224307582 Enrollment ID: I20210610002009 |
| Provider Name | Miyako Igari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225398787 PECOS PAC ID: 7719318914 Enrollment ID: I20210927002786 |
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