| Benevolence Industries Incorporated | |
|
3631 Crenshaw Blvd 109 Los Angeles CA 90016-4869 | |
| (323) 732-0100 | |
| (323) 732-0104 |
| Full Name | Benevolence Industries Incorporated |
|---|---|
| Speciality | Clinic/Center |
| Location | 3631 Crenshaw Blvd, Los Angeles, California |
| Authorized Official Name and Position | Kwabena Obeng (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3108007963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benevolence Industries Incorporated 1010 Crenshaw Blvd Ste 100 Torrance CA 90501-2055 Ph: (323) 732-0100 | Benevolence Industries Incorporated 3631 Crenshaw Blvd 109 Los Angeles CA 90016-4869 Ph: (323) 732-0100 |
| NPI Number | 1578763207 |
|---|---|
| Provider Enumeration Date | 07/20/2007 |
| Last Update Date | 01/21/2021 |
| Medicare PECOS PAC ID | 3870686611 |
|---|---|
| Medicare Enrollment ID | O20070910000638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578763207 | NPI | - | NPPES |
| 1578763207 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550001971 (California) | Primary |
| Provider Name | Joseph C Perera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700866571 PECOS PAC ID: 0547350902 Enrollment ID: I20071221000332 |
| Provider Name | Haleh Toutounchi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801052006 PECOS PAC ID: 0941359434 Enrollment ID: I20090828000315 |
| Provider Name | Youngwook Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881852432 PECOS PAC ID: 0749409936 Enrollment ID: I20140922000466 |
| Provider Name | Sina Tebi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437380789 PECOS PAC ID: 4981835212 Enrollment ID: I20141009001164 |
| Provider Name | Aela Paiz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689817892 PECOS PAC ID: 2466779962 Enrollment ID: I20150321000054 |
| Provider Name | Ron Javdan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093878258 PECOS PAC ID: 9739132275 Enrollment ID: I20190412001138 |
| Provider Name | David Ghods |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1992234199 PECOS PAC ID: 7012287949 Enrollment ID: I20200203002183 |
| Provider Name | Sindu Shelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861920191 PECOS PAC ID: 2567866106 Enrollment ID: I20210804002734 |
| Provider Name | Nathalie Angulo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023620341 PECOS PAC ID: 6709280340 Enrollment ID: I20210804002893 |
| Provider Name | Hyekung Thrane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215460001 PECOS PAC ID: 3678977220 Enrollment ID: I20210804003107 |
| Provider Name | Valerie A Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255971552 PECOS PAC ID: 5395149587 Enrollment ID: I20210810003214 |
| Provider Name | Eva Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992363501 PECOS PAC ID: 1951706902 Enrollment ID: I20210830000988 |
| Provider Name | Dorothy Duodu-addo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033570643 PECOS PAC ID: 5496150450 Enrollment ID: I20210830001063 |
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Clinica Virgen De Guadalupe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 985 W Vernon Ave, Los Angeles, CA 90037 Phone: 323-234-6300 | |
Ssg San Pedro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5811 S San Pedro St, Los Angeles, CA 90011 Phone: 213-553-1800 | |
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 Medical Group Eapc Prop 99 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 | |
Apla Health & Wellness - David Geffen Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595 |