| Alberto V Natividad M D Inc | |
|
1711 W Temple St Suite 3200 Los Angeles CA 90026 | |
| (213) 989-1951 | |
| Not Available |
| Full Name | Alberto V Natividad M D Inc |
|---|---|
| Speciality | General Practice |
| Location | 1711 W Temple St, Los Angeles, California |
| Authorized Official Name and Position | Alberto V Natividad (DIRECTOR) |
| Authorized Official Contact | 2139891951 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alberto V Natividad M D Inc 1711 W Temple St Suite 3200 Los Angeles CA 90026-5421 Ph: (213) 989-1951 | Alberto V Natividad M D Inc 1711 W Temple St Suite 3200 Los Angeles CA 90026 Ph: (213) 989-1951 |
| NPI Number | 1578739306 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 08/10/2018 |
| Medicare PECOS PAC ID | 0345470563 |
|---|---|
| Medicare Enrollment ID | O20140307000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578739306 | NPI | - | NPPES |
| 00A404580 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A40458 (California) | Primary |
| Provider Name | Alberto V Natividad |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1851464838 PECOS PAC ID: 2466443213 Enrollment ID: I20040520000475 |
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