Kedren Community Care Clinic | |
4211 Avalon Blvd Building A Los Angeles CA 90011-5622 | |
(323) 233-0425 | |
(323) 432-5186 |
Full Name | Kedren Community Care Clinic |
---|---|
Speciality | Clinic/Center |
Location | 4211 Avalon Blvd, Los Angeles, California |
Authorized Official Name and Position | Earle Charles (CHIEF INFORMATION OFFICER) |
Authorized Official Contact | 3234325093 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kedren Community Care Clinic 4211 Avalon Blvd Building A Los Angeles CA 90011-5622 Ph: (323) 233-0425 | Kedren Community Care Clinic 4211 Avalon Blvd Building A Los Angeles CA 90011-5622 Ph: (323) 233-0425 |
NPI Number | 1417378597 |
---|---|
Provider Enumeration Date | 12/17/2013 |
Last Update Date | 10/02/2018 |
Medicare PECOS PAC ID | 5597805424 |
---|---|
Medicare Enrollment ID | O20150115000569 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417378597 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550002516 (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 | |
Clinica Virgen De Guadalupe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 985 W Vernon Ave, Los Angeles, CA 90037 Phone: 323-234-6300 | |
Ssg San Pedro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5811 S San Pedro St, Los Angeles, CA 90011 Phone: 213-553-1800 | |
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 Medical Group Eapc Prop 99 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Citadel Dr, Ste 490, Los Angeles, CA 90040 Phone: 323-725-8751 Fax: 323-889-7399 | |
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 | |
Apla Health & Wellness - David Geffen Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595 |