Diabetes & Endocrinology Specialty Center | |
1414 S Grand Ave Ste 456 Los Angeles CA 90015-3071 | |
(213) 745-6047 | |
(213) 748-9715 |
Full Name | Diabetes & Endocrinology Specialty Center |
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Speciality | Clinic/Center |
Location | 1414 S Grand Ave Ste 456, Los Angeles, California |
Authorized Official Name and Position | Christopher Tak Lau (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6264576900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Diabetes & Endocrinology Specialty Center 2550 W Main St Ste 301 Alhambra CA 91801-7003 Ph: (626) 457-6900 | Diabetes & Endocrinology Specialty Center 1414 S Grand Ave Ste 456 Los Angeles CA 90015-3071 Ph: (213) 745-6047 |
NPI Number | 1063927564 |
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Provider Enumeration Date | 12/06/2017 |
Last Update Date | 10/15/2021 |
Medicare PECOS PAC ID | 5193710275 |
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Medicare Enrollment ID | O20180122001533 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063927564 | 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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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 | |
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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 | |
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