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4125 Verdugo Rd Ste A Los Angeles CA 90065-3820 | |
(602) 962-6767 | |
(602) 968-6790 |
Full Name | |
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Speciality | Nurse Practitioner - Primary Care |
Location | 4125 Verdugo Rd Ste A, Los Angeles, California |
Authorized Official Name and Position | Roland Tila Flores (CEO) |
Authorized Official Contact | 6029626767 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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14362 N Frank Lloyd Wright Blvd Ste 1000 Scottsdale AZ 85260-8847 Ph: (602) 962-6767 | 4125 Verdugo Rd Ste A Los Angeles CA 90065-3820 Ph: (602) 962-6767 |
NPI Number | 1093410946 |
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Provider Enumeration Date | 03/31/2023 |
Last Update Date | 05/15/2023 |
Identifier | Type | State | Issuer |
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1093410946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | (* (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 | |