| |
326 N Soto St Los Angeles CA 90033-1815 | |
(323) 268-5060 | |
(323) 268-5048 |
Full Name | |
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Speciality | Internal Medicine |
Location | 326 N Soto St, Los Angeles, California |
Authorized Official Name and Position | Hector F. Luque (PRESIDENT) |
Authorized Official Contact | 3232685060 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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326 N Soto St Los Angeles CA 90033-1815 Ph: (323) 268-5060 | 326 N Soto St Los Angeles CA 90033-1815 Ph: (323) 268-5060 |
NPI Number | 1528335841 |
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Provider Enumeration Date | 12/01/2011 |
Last Update Date | 04/18/2012 |
Medicare PECOS PAC ID | 9931360831 |
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Medicare Enrollment ID | O20120420000329 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528335841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Hector F Luque |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558474395 PECOS PAC ID: 9234226978 Enrollment ID: I20071029000198 |
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 | |