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5400 E Beverly Blvd Los Angeles CA 90022-2208 | |
(626) 673-5439 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 5400 E Beverly Blvd, Los Angeles, California |
Authorized Official Name and Position | Eddie Lares (DIRECTOR) |
Authorized Official Contact | 6266735439 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4200 Peck Rd Ste B El Monte CA 91732-2177 Ph: (626) 673-5439 | 5400 E Beverly Blvd Los Angeles CA 90022-2208 Ph: (626) 673-5439 |
NPI Number | 1275278608 |
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Provider Enumeration Date | 04/29/2022 |
Last Update Date | 10/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275278608 | NPI | - | NPPES |
A107364 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QF0050X | Clinic/center - Family Planning, Non-surgical | (* (Not Available)) | Secondary |
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 | |