| |
268 Bloom St Suite # 322 Los Angeles CA 90012-1973 | |
(323) 276-0267 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 268 Bloom St, Los Angeles, California |
Authorized Official Name and Position | Robert U. Young (VP, PATIENT FINANCIAL SERVICES) |
Authorized Official Contact | 3236222429 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2040 Camfield Ave Los Angeles CA 90040-1501 Ph: (323) 889-7349 | 268 Bloom St Suite # 322 Los Angeles CA 90012-1973 Ph: (323) 276-0267 |
NPI Number | 1619303880 |
---|---|
Provider Enumeration Date | 09/19/2013 |
Last Update Date | 08/13/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619303880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (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 | |