La Familia Medical Group, Inc. | |
6433 Whittier Blvd Los Angeles CA 90022-4627 | |
(323) 724-6674 | |
(323) 724-9926 |
Full Name | La Familia Medical Group, Inc. |
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Speciality | Internal Medicine |
Location | 6433 Whittier Blvd, Los Angeles, California |
Authorized Official Name and Position | Michael Robert Block (MEDICAL DOCTOR) |
Authorized Official Contact | 3237246674 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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La Familia Medical Group, Inc. 6433 Whittier Blvd Los Angeles CA 90022-4627 Ph: (323) 724-6674 | La Familia Medical Group, Inc. 6433 Whittier Blvd Los Angeles CA 90022-4627 Ph: (323) 724-6674 |
NPI Number | 1548574056 |
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Provider Enumeration Date | 07/27/2010 |
Last Update Date | 07/27/2010 |
Medicare PECOS PAC ID | 4284821877 |
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Medicare Enrollment ID | O20101208000812 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548574056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G24174 (California) | Primary |
207RN0300X | Internal Medicine - Nephrology | G24174 (California) | Secondary |
Provider Name | Michael Block |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134203656 PECOS PAC ID: 4082612122 Enrollment ID: I20090120000077 |
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