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1245 Wilshire Blvd Ste 715 Los Angeles CA 90017-4807 | |
(213) 643-3170 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1245 Wilshire Blvd Ste 715, Los Angeles, California |
Authorized Official Name and Position | Eleanor Perez (CAO) |
Authorized Official Contact | 9093810803 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2700 S Grand Ave Los Angeles CA 90007-3301 Ph: (213) 536-5814 | 1245 Wilshire Blvd Ste 715 Los Angeles CA 90017-4807 Ph: (213) 643-3170 |
NPI Number | 1457116709 |
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Provider Enumeration Date | 02/15/2024 |
Last Update Date | 02/19/2024 |
Identifier | Type | State | Issuer |
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1457116709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (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 | |
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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 | |