Jimmy L Ezell Medical Corp | |
7500 S Western Ave Los Angeles CA 90047-2429 | |
(323) 971-2250 | |
(323) 971-5605 |
Full Name | Jimmy L Ezell Medical Corp |
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Speciality | Clinic/center - Primary Care |
Location | 7500 S Western Ave, Los Angeles, California |
Authorized Official Name and Position | Jimmy L Ezell (PRESIDENT) |
Authorized Official Contact | 3239712250 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jimmy L Ezell Medical Corp 7500 S Western Ave Los Angeles CA 90047-2429 Ph: (323) 971-2250 | Jimmy L Ezell Medical Corp 7500 S Western Ave Los Angeles CA 90047-2429 Ph: (323) 971-2250 |
NPI Number | 1053551739 |
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Provider Enumeration Date | 02/20/2009 |
Last Update Date | 03/06/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053551739 | NPI | - | NPPES |
00C271870 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | C27187 (California) | Primary |
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 | |