| La Clinic Of Medicine Genetics And Preventive Care | |
|
369 N Fairfax Ave Ste 2 Los Angeles CA 90036-2175 | |
| (323) 655-2799 | |
| (323) 655-0556 |
| Full Name | La Clinic Of Medicine Genetics And Preventive Care |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 369 N Fairfax Ave Ste 2, Los Angeles, California |
| Authorized Official Name and Position | Yelena Silvanskaya (OWNER) |
| Authorized Official Contact | 3236552799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Clinic Of Medicine Genetics And Preventive Care 647 N Harper Ave Los Angeles CA 90048-2224 Ph: (323) 655-2799 | La Clinic Of Medicine Genetics And Preventive Care 369 N Fairfax Ave Ste 2 Los Angeles CA 90036-2175 Ph: (323) 655-2799 |
| NPI Number | 1750470134 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750470134 | NPI | - | NPPES |
| 00A701740 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | A70174 (California) | Primary |
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