| Alianza Medical Center Inc | |
|
6907 Seville Ave Huntington Park CA 90255 | |
| (323) 588-1100 | |
| (323) 277-0874 |
| Full Name | Alianza Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 6907 Seville Ave, Huntington Park, California |
| Authorized Official Name and Position | Hassan Anthony Hooshmand (CORPORATE SECRETARY) |
| Authorized Official Contact | 3235881100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alianza Medical Center Inc 6907 Seville Ave Huntington Park CA 90255 Ph: (323) 588-1100 | Alianza Medical Center Inc 6907 Seville Ave Huntington Park CA 90255 Ph: (323) 588-1100 |
| NPI Number | 1073675385 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7315975745 |
|---|---|
| Medicare Enrollment ID | O20050727001144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073675385 | NPI | - | NPPES |
| GR0080890 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Behrooz B Yagoobian |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1780613570 PECOS PAC ID: 3375532104 Enrollment ID: I20040608000827 |
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