| Comprehensive Care Id Medical Group | |
|
8635 W 3rd St Suite 1185-w Los Angeles CA 90048-6101 | |
| (310) 855-1960 | |
| (310) 855-0156 |
| Full Name | Comprehensive Care Id Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 8635 W 3rd St, Los Angeles, California |
| Authorized Official Name and Position | Irving Posalski (DIRECTOR) |
| Authorized Official Contact | 3108551960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Care Id Medical Group 8635 W 3rd St Suite 1185-w Los Angeles CA 90048-6101 Ph: (310) 855-1960 | Comprehensive Care Id Medical Group 8635 W 3rd St Suite 1185-w Los Angeles CA 90048-6101 Ph: (310) 855-1960 |
| NPI Number | 1811920846 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5395725998 |
|---|---|
| Medicare Enrollment ID | O20040723000556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811920846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Irving Posalski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336172378 PECOS PAC ID: 9032199641 Enrollment ID: I20040727001154 |
| Provider Name | Jeffrey Rapp |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619995073 PECOS PAC ID: 1850371469 Enrollment ID: I20040727001232 |
| Provider Name | Randy B Feldman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538192588 PECOS PAC ID: 9436129541 Enrollment ID: I20040727001287 |
| Provider Name | Jason Kirk |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497951065 PECOS PAC ID: 3678651486 Enrollment ID: I20080418000550 |
| Provider Name | Navid Jason Pour-ghasemi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053798173 PECOS PAC ID: 0749608123 Enrollment ID: I20220322000963 |
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