Angeles Healthcare Wc, Llc | |
1433 W Merced Ave Suit #311 West Covina CA 91790-3402 | |
(626) 960-3066 | |
Not Available |
Full Name | Angeles Healthcare Wc, Llc |
---|---|
Speciality | Family Medicine |
Location | 1433 W Merced Ave, West Covina, California |
Authorized Official Name and Position | John S. Kim (PRESIDENT) |
Authorized Official Contact | 5624027622 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Angeles Healthcare Wc, Llc 11911 Artesia Blvd Suit #101 Cerritos CA 90701-4065 Ph: (562) 402-7622 | Angeles Healthcare Wc, Llc 1433 W Merced Ave Suit #311 West Covina CA 91790-3402 Ph: (626) 960-3066 |
NPI Number | 1780004010 |
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Provider Enumeration Date | 04/25/2014 |
Last Update Date | 04/25/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780004010 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G66684 (California) | Primary |
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