<unavail> in Los Angeles, CA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Los Angeles, California. The current practice location for is 611 E Imperial Hwy, Suite 107, Los Angeles, California. For appointments, you can reach them via phone at (323) 732-0100. The mailing address for is 1010 Crenshaw Blvd Ste 100, Torrance, California and phone number is (310) 617-5651.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1457781676. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (323) 732-0100.

Contact Information


	611 E Imperial Hwy Suite 107 Los Angeles CA 90059-2358
	(323) 732-0100
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	611 E Imperial Hwy, Los Angeles, California
Authorized Official Name and Position	Kwabena Obeng (PRESIDENT)
Authorized Official Contact	3108007963
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1010 Crenshaw Blvd Ste 100 Torrance CA 90501-2055 Ph: (310) 617-5651	611 E Imperial Hwy Suite 107 Los Angeles CA 90059-2358 Ph: (323) 732-0100

NPI Details:

NPI Number	1457781676
Provider Enumeration Date	11/25/2013
Last Update Date	01/21/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	3870686611
Medicare Enrollment ID	O20210506002716

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457781676	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Los Angeles, CA

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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Citadel Dr, Ste 490, Los Angeles, CA 90040 Phone: 323-725-8751 Fax: 323-889-7399
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
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595

- Medicare Primary Care in Los Angeles, CA