| Angeles Community Health Center | |
|
1919 W 7th St Suite 2a Los Angeles CA 90057-4103 | |
| (213) 413-2222 | |
| (213) 483-1711 |
| Full Name | Angeles Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1919 W 7th St, Los Angeles, California |
| Authorized Official Name and Position | Peyman Banooni (CEO) |
| Authorized Official Contact | 3106254649 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angeles Community Health Center 269 S Beverly Dr Suite468 Beverly Hills CA 90212-3851 Ph: (310) 625-4649 | Angeles Community Health Center 1919 W 7th St Suite 2a Los Angeles CA 90057-4103 Ph: (213) 413-2222 |
| NPI Number | 1447703400 |
|---|---|
| Provider Enumeration Date | 07/26/2016 |
| Last Update Date | 04/19/2017 |
| Medicare PECOS PAC ID | 5294005534 |
|---|---|
| Medicare Enrollment ID | O20170719003904 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447703400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jose M Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427078781 PECOS PAC ID: 9032009329 Enrollment ID: I20040318001739 |
| Provider Name | Arash Bereliani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699722165 PECOS PAC ID: 6002808714 Enrollment ID: I20040401001204 |
| Provider Name | Peyman Banooni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811002777 PECOS PAC ID: 6406830322 Enrollment ID: I20040617000536 |
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