| Intercede Health Of California | |
|
1680 E 120th St Los Angeles CA 90059-3026 | |
| (832) 476-3900 | |
| (832) 476-6494 |
| Full Name | Intercede Health Of California |
|---|---|
| Speciality | Internal Medicine |
| Location | 1680 E 120th St, Los Angeles, California |
| Authorized Official Name and Position | Patrick J Mathews (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8324763900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intercede Health Of California 2000 Crawford St Suite 1350 Houston TX 77002-9000 Ph: (832) 476-3900 | Intercede Health Of California 1680 E 120th St Los Angeles CA 90059-3026 Ph: (832) 476-3900 |
| NPI Number | 1720471097 |
|---|---|
| Provider Enumeration Date | 03/11/2015 |
| Last Update Date | 03/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720471097 | NPI | - | NPPES |
| 080840401 | Medicaid | TX | |
| 006694600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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