Farough Kerendi Md Inc | |
6360 Wilshire Blvd Suite 414 Los Angeles CA 90048-5603 | |
(323) 655-1930 | |
(323) 655-1377 |
Full Name | Farough Kerendi Md Inc |
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Speciality | General Practice |
Location | 6360 Wilshire Blvd, Los Angeles, California |
Authorized Official Name and Position | Farough Kerendi (OWNER) |
Authorized Official Contact | 3236551930 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Farough Kerendi Md Inc 6360 Wilshire Blvd Suite 414 Los Angeles CA 90048-5603 Ph: (323) 655-1930 | Farough Kerendi Md Inc 6360 Wilshire Blvd Suite 414 Los Angeles CA 90048-5603 Ph: (323) 655-1930 |
NPI Number | 1528134558 |
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Provider Enumeration Date | 11/28/2006 |
Last Update Date | 07/10/2015 |
Medicare PECOS PAC ID | 0143390450 |
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Medicare Enrollment ID | O20080529000349 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528134558 | NPI | - | NPPES |
00A400181 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | A40018 (California) | Primary |
Provider Name | Dewey D Pillai |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134161482 PECOS PAC ID: 7810944261 Enrollment ID: I20050407000257 |
Provider Name | Farough Md Kerendi |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1568538593 PECOS PAC ID: 7810076437 Enrollment ID: I20080529000343 |
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 | |