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6820 La Tijera Blvd Ste. 217 Los Angeles CA 90045-1908 | |
(310) 568-0244 | |
(310) 568-8202 |
Full Name | |
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Speciality | Clinic/center - Community Health |
Location | 6820 La Tijera Blvd, Los Angeles, California |
Authorized Official Name and Position | Kimberly Williams-ryan (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3105007249 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 881329 Los Angeles CA 90009-7329 Ph: (310) 641-0870 | 6820 La Tijera Blvd Ste. 217 Los Angeles CA 90045-1908 Ph: (310) 568-0244 |
NPI Number | 1386874840 |
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Provider Enumeration Date | 07/19/2009 |
Last Update Date | 07/19/2009 |
Identifier | Type | State | Issuer |
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1386874840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | (* (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 | |