| Dr. Drip | |
|
2060 Marengo St Los Angeles CA 90033-1353 | |
| (213) 400-5565 | |
| Not Available |
| Full Name | Dr. Drip |
|---|---|
| Speciality | Internal Medicine |
| Location | 2060 Marengo St, Los Angeles, California |
| Authorized Official Name and Position | Young Park (AC ADAPTER POWERED MODE: 6V 1A) |
| Authorized Official Contact | 2132725626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Drip 2060 Marengo St Los Angeles CA 90033-1353 Ph: (213) 400-5565 | Dr. Drip 2060 Marengo St Los Angeles CA 90033-1353 Ph: (213) 400-5565 |
| NPI Number | 1447982418 |
|---|---|
| Provider Enumeration Date | 06/28/2022 |
| Last Update Date | 06/29/2022 |
| Medicare PECOS PAC ID | 0143698977 |
|---|---|
| Medicare Enrollment ID | O20221128002772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447982418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Byron Flores |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1881601383 PECOS PAC ID: 0042258139 Enrollment ID: I20050511000367 |
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