George C. In, M.d., Inc. | |
500 S Virgil Ave Ste 501 Los Angeles CA 90020-1450 | |
(323) 735-7700 | |
Not Available |
Full Name | George C. In, M.d., Inc. |
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Speciality | Family Medicine |
Location | 500 S Virgil Ave Ste 501, Los Angeles, California |
Authorized Official Name and Position | George C In (M.D.) |
Authorized Official Contact | 3237357700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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George C. In, M.d., Inc. 500 S Virgil Ave Ste 501 Los Angeles CA 90020-1450 Ph: (323) 735-7700 | George C. In, M.d., Inc. 500 S Virgil Ave Ste 501 Los Angeles CA 90020-1450 Ph: (323) 735-7700 |
NPI Number | 1023117553 |
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Provider Enumeration Date | 09/21/2006 |
Last Update Date | 08/30/2023 |
Medicare PECOS PAC ID | 9133126774 |
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Medicare Enrollment ID | O20061024000637 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023117553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | A048565 (California) | Primary |
Provider Name | George C In |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902835077 PECOS PAC ID: 6901800192 Enrollment ID: I20060830000338 |
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