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3301 N Eastern Ave Los Angeles CA 90032-1931 | |
(323) 225-2351 | |
(323) 225-7555 |
Full Name | |
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Speciality | Family Medicine |
Location | 3301 N Eastern Ave, Los Angeles, California |
Authorized Official Name and Position | An Pang Chieng (OWNER/PRESIDENT) |
Authorized Official Contact | 3232252351 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3301 N Eastern Ave Los Angeles CA 90032-1931 Ph: (323) 225-2351 | 3301 N Eastern Ave Los Angeles CA 90032-1931 Ph: (323) 225-2351 |
NPI Number | 1336189117 |
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Provider Enumeration Date | 06/08/2006 |
Last Update Date | 10/11/2007 |
Medicare PECOS PAC ID | 5799701827 |
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Medicare Enrollment ID | O20051018001181 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336189117 | NPI | - | NPPES |
00AX80550 | Medicaid | CA | |
00A480480 | Medicaid | CA | |
00G666480 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A8055 (California) | Primary |
207R00000X | Internal Medicine | G66648 (California) | Secondary |
208D00000X | General Practice | A48048 (California) | Secondary |
Provider Name | An Pang Chieng |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821030305 PECOS PAC ID: 8123912987 Enrollment ID: I20040211001284 |
Provider Name | Wei D Show |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1386686889 PECOS PAC ID: 9638197288 Enrollment ID: I20051102001050 |
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 | |
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 | |
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 | |