El Segundo Medical Center Inc | |
455 Main Street El Segundo CA 90245 | |
(310) 322-1611 | |
(310) 322-4589 |
Full Name | El Segundo Medical Center Inc |
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Speciality | Clinic/Center |
Location | 455 Main Street, El Segundo, California |
Authorized Official Name and Position | Arnold Chanin (MEDICAL DIRECTOR PRESIDENT) |
Authorized Official Contact | 3103221611 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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El Segundo Medical Center Inc 455 Main Street El Segundo CA 90245 Ph: (310) 322-1611 | El Segundo Medical Center Inc 455 Main Street El Segundo CA 90245 Ph: (310) 322-1611 |
NPI Number | 1972681971 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 9032166749 |
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Medicare Enrollment ID | O20050405000867 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972681971 | NPI | - | NPPES |
ZZZ64726Z | Other | CA | BLUE SHIELD |
GR0079113 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 22969 (California) | Primary |
Provider Name | Hak P Wong |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1205935988 PECOS PAC ID: 7719964204 Enrollment ID: I20040701001617 |
Thomas T. Togioka, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 N Sepulveda Blvd, #1055, El Segundo, CA 90245 Phone: 310-673-3945 | |
Torrance Memorial Physician Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2110 E. El Segundo Blvd, Suite 100, El Segundo, CA 90245 Phone: 310-517-7010 | |
Pacific Harbor Medical Group,inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 360 N Pacific Coast Hwy Ste 3000, El Segundo, CA 90245 Phone: 310-642-0100 Fax: 310-642-0546 | |
Hydra Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Continental Blvd, Ste 600, El Segundo, CA 90245 Phone: 818-749-4778 | |
El Segundo Medical Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 Main St, El Segundo, CA 90245 Phone: 310-322-1611 Fax: 310-322-4589 | |
Westside Medical Evaluators Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Continental Blvd, Ste 600, El Segundo, CA 90245 Phone: 310-919-6811 Fax: 310-356-3203 | |
Westchester Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 360 N Sepulveda Blvd, Suite 3000, El Segundo, CA 90245 Phone: 310-670-1120 |