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5224 N Figueroa Street Los Angeles CA 90042-4118 | |
(323) 259-0456 | |
(323) 259-8486 |
Full Name | |
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Speciality | Internal Medicine |
Location | 5224 N Figueroa Street, Los Angeles, California |
Authorized Official Name and Position | Gustavo Alberto Alza (CORPORATE PRESIDENT) |
Authorized Official Contact | 3232590456 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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5224 N Figueroa Street Los Angeles CA 90042-4118 Ph: (323) 259-0456 | 5224 N Figueroa Street Los Angeles CA 90042-4118 Ph: (323) 259-0456 |
NPI Number | 1174605612 |
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Provider Enumeration Date | 10/20/2006 |
Last Update Date | 02/27/2015 |
Medicare PECOS PAC ID | 7719955079 |
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Medicare Enrollment ID | O20110124000614 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174605612 | NPI | - | NPPES |
DB6615 | Other | CA | RAILROAD MEDICARE # |
00G487490 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G48749 (California) | Primary |
Provider Name | Gustavo A Alza |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942498464 PECOS PAC ID: 6507045531 Enrollment ID: I20120210000636 |
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 | |
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