| Federal Medical Group Inc | |
|
1700 Westwood Blvd 1st Floor Los Angeles CA 90024-5608 | |
| (310) 234-6600 | |
| (310) 234-6604 |
| Full Name | Federal Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1700 Westwood Blvd, Los Angeles, California |
| Authorized Official Name and Position | Sohrab Yamini (OWNER) |
| Authorized Official Contact | 3102346600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Federal Medical Group Inc 1700 Westwood Blvd 1st Floor Los Angeles CA 90024-5608 Ph: (310) 234-6600 | Federal Medical Group Inc 1700 Westwood Blvd 1st Floor Los Angeles CA 90024-5608 Ph: (310) 234-6600 |
| NPI Number | 1306895552 |
|---|---|
| Provider Enumeration Date | 05/07/2006 |
| Last Update Date | 03/16/2012 |
| Medicare PECOS PAC ID | 0648179192 |
|---|---|
| Medicare Enrollment ID | O20040105000466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306895552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A40040 (California) | Primary |
| Provider Name | Sohrab Yamini |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689601858 PECOS PAC ID: 1355240805 Enrollment ID: I20040108000952 |
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