| Elite Medical Clinic | |
|
437 E Washington Blvd Suite A Los Angeles CA 90015-3720 | |
| (213) 622-3100 | |
| (866) 867-2392 |
| Full Name | Elite Medical Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 437 E Washington Blvd, Los Angeles, California |
| Authorized Official Name and Position | Houman M Kashani (OWNER) |
| Authorized Official Contact | 2136223100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Medical Clinic Po Box 49901 Los Angeles CA 90049-0901 Ph: (213) 622-3100 | Elite Medical Clinic 437 E Washington Blvd Suite A Los Angeles CA 90015-3720 Ph: (213) 622-3100 |
| NPI Number | 1326416280 |
|---|---|
| Provider Enumeration Date | 09/09/2015 |
| Last Update Date | 09/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326416280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A84361 (California) | Primary |
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