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1811 N Western Ave Los Angeles CA 90027-3403 | |
(855) 783-2434 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 1811 N Western Ave, Los Angeles, California |
Authorized Official Name and Position | Donna Stidham (CHIEF OF MANAGED CARE) |
Authorized Official Contact | 3234365025 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6255 W Sunset Blvd Fl 21 Los Angeles CA 90028-7422 Ph: (323) 860-5200 | 1811 N Western Ave Los Angeles CA 90027-3403 Ph: (855) 783-2434 |
NPI Number | 1518460658 |
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Provider Enumeration Date | 03/15/2018 |
Last Update Date | 09/11/2019 |
Identifier | Type | State | Issuer |
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1518460658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Joseph I Kang Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004 Phone: 323-664-7777 | |
John L Sherman Md Amc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 Phone: 310-855-8081 Fax: 310-855-0438 | |
Altamed Health Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022 Phone: 323-832-7527 Fax: 323-832-7599 | |