Erwinn Martin C Sistoza, M.d.,inc. | |
1711 W Temple St Suite 5638 Los Angeles CA 90026-5421 | |
(310) 989-6107 | |
(310) 989-6519 |
Full Name | Erwinn Martin C Sistoza, M.d.,inc. |
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Speciality | Internal Medicine - Geriatric Medicine |
Location | 1711 W Temple St, Los Angeles, California |
Authorized Official Name and Position | Erwinn C Sistoza (PRESIDENT) |
Authorized Official Contact | 3103489138 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Erwinn Martin C Sistoza, M.d.,inc. 6355 Green Valley Cir Unit 115 Culver City CA 90230-7073 Ph: (310) 348-9138 | Erwinn Martin C Sistoza, M.d.,inc. 1711 W Temple St Suite 5638 Los Angeles CA 90026-5421 Ph: (310) 989-6107 |
NPI Number | 1104016856 |
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Provider Enumeration Date | 07/30/2007 |
Last Update Date | 01/14/2008 |
Identifier | Type | State | Issuer |
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1104016856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | A76101 (California) | Primary |
208000000X | Pediatrics | A76101 (California) | Secondary |
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 | |