<unavail> in Los Angeles, CA - Medicare General Practice

is a medicare enrolled primary clinic (General Practice) in Los Angeles, California. The current practice location for is 4211 South Avalon Blvd, Los Angeles, California. For appointments, you can reach them via phone at (323) 432-5093. The mailing address for is 4211 South Avalon Blvd., Los Angeles, California and phone number is (323) 432-5093.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1255548483. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (323) 432-5093.

Contact Information


	4211 South Avalon Blvd Los Angeles CA 90011
	(323) 432-5093
	(323) 233-5015

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	General Practice
Location	4211 South Avalon Blvd, Los Angeles, California
Authorized Official Name and Position	Earle Charles Charles (CHIEF INFORMATION OFFICER)
Authorized Official Contact	3234325093
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
4211 South Avalon Blvd. Los Angeles CA 90011-5622 Ph: (323) 432-5093	4211 South Avalon Blvd Los Angeles CA 90011 Ph: (323) 432-5093

NPI Details:

NPI Number	1255548483
Provider Enumeration Date	05/17/2007
Last Update Date	04/16/2019

Medicare PECOS Information:

Medicare PECOS PAC ID	5597805424
Medicare Enrollment ID	O20091228000114

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255548483	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	(* (Not Available))	Primary

Reviews and Comments

General Practice in Los Angeles, CA

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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
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- Medicare Primary Care in Los Angeles, CA