| Allied Health Solutions Medical Group A Professional Corporation | |
|
6333 Wilshire Blvd Suite 411 Los Angeles CA 90048-5702 | |
| (323) 944-0949 | |
| (323) 782-0388 |
| Full Name | Allied Health Solutions Medical Group A Professional Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 6333 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Joseph Pierson (CEO) |
| Authorized Official Contact | 3239440949 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Health Solutions Medical Group A Professional Corporation 6333 Wilshire Blvd Suite 411 Los Angeles CA 90048-5702 Ph: (323) 944-0949 | Allied Health Solutions Medical Group A Professional Corporation 6333 Wilshire Blvd Suite 411 Los Angeles CA 90048-5702 Ph: (323) 944-0949 |
| NPI Number | 1750696308 |
|---|---|
| Provider Enumeration Date | 08/06/2010 |
| Last Update Date | 01/17/2017 |
| Medicare PECOS PAC ID | 7012177025 |
|---|---|
| Medicare Enrollment ID | O20120329000245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750696308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | G53815 (California) | Primary |
| Provider Name | Khosrow I Daneshvar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982701645 PECOS PAC ID: 8729119029 Enrollment ID: I20100630000783 |
| Provider Name | Joseph E Pierson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1457376790 PECOS PAC ID: 9234147992 Enrollment ID: I20120326000393 |
| Provider Name | Ada I Nwachuku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548678568 PECOS PAC ID: 3476877622 Enrollment ID: I20150120000114 |
| Provider Name | Kim E Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659906238 PECOS PAC ID: 1557773777 Enrollment ID: I20201211002752 |
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