| |
2080 Century Park E Ste 1806 Los Angeles CA 90067-2021 | |
(310) 551-1711 | |
(310) 551-1311 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 2080 Century Park E Ste 1806, Los Angeles, California |
Authorized Official Name and Position | Lizanne Elaine Webb (ADMINISTRATOR) |
Authorized Official Contact | 6462986422 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
2080 Century Park E Ste 1806 Los Angeles CA 90067-2009 Ph: (310) 551-1711 | 2080 Century Park E Ste 1806 Los Angeles CA 90067-2021 Ph: (310) 551-1711 |
NPI Number | 1124214150 |
---|---|
Provider Enumeration Date | 09/24/2007 |
Last Update Date | 09/12/2018 |
Medicare PECOS PAC ID | 4587672647 |
---|---|
Medicare Enrollment ID | O20060330000681 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124214150 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ali J Enayati |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043269194 PECOS PAC ID: 8325941651 Enrollment ID: I20040202000577 |
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 | |