| |
10300 Compton Ave Los Angeles CA 90002-3628 | |
(323) 357-6680 | |
(323) 563-6378 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 10300 Compton Ave, Los Angeles, California |
Authorized Official Name and Position | William D. Hobson (PRESIDENT & CEO) |
Authorized Official Contact | 3235684417 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10110 Juniper Street Los Angeles CA 90002 Ph: (323) 357-6680 | 10300 Compton Ave Los Angeles CA 90002-3628 Ph: (323) 357-6680 |
NPI Number | 1376681486 |
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Provider Enumeration Date | 02/01/2007 |
Last Update Date | 09/12/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376681486 | NPI | - | NPPES |
FHC70422G | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 96000449 (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 | |
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