| Divine Help Medical Group Inc | |
|
1711 W Temple St Unit 5613 Los Angeles CA 90026-5421 | |
| (213) 483-8400 | |
| Not Available |
| Full Name | Divine Help Medical Group Inc |
|---|---|
| Speciality | General Practice |
| Location | 1711 W Temple St Unit 5613, Los Angeles, California |
| Authorized Official Name and Position | Abdul Khan (PRESIDENT) |
| Authorized Official Contact | 2134838400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Help Medical Group Inc Po Box 426 Lawndale CA 90260-0426 Ph: (213) 483-8400 | Divine Help Medical Group Inc 1711 W Temple St Unit 5613 Los Angeles CA 90026-5421 Ph: (213) 483-8400 |
| NPI Number | 1972064004 |
|---|---|
| Provider Enumeration Date | 03/29/2019 |
| Last Update Date | 03/29/2019 |
| Medicare PECOS PAC ID | 5597099184 |
|---|---|
| Medicare Enrollment ID | O20190702001614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972064004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Abdul Rab Khan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063400380 PECOS PAC ID: 5496788036 Enrollment ID: I20050914001132 |
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