| Determined Medical Inc | |
|
3415 S Sepulveda Blvd Ste 1000 Los Angeles CA 90034-6292 | |
| (800) 800-0211 | |
| Not Available |
| Full Name | Determined Medical Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3415 S Sepulveda Blvd Ste 1000, Los Angeles, California |
| Authorized Official Name and Position | Scott A Kaiser (PRESIDENT) |
| Authorized Official Contact | 3108667800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Determined Medical Inc 3019 Ocean Park Blvd # 154 Santa Monica CA 90405-3004 Ph: (800) 800-0211 | Determined Medical Inc 3415 S Sepulveda Blvd Ste 1000 Los Angeles CA 90034-6292 Ph: (800) 800-0211 |
| NPI Number | 1639948557 |
|---|---|
| Provider Enumeration Date | 12/20/2023 |
| Last Update Date | 01/25/2024 |
| Medicare PECOS PAC ID | 2668818881 |
|---|---|
| Medicare Enrollment ID | O20240311002332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639948557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Scott A Kaiser |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1205042470 PECOS PAC ID: 4789750399 Enrollment ID: I20121219000378 |
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