| La Paz Medical Group | |
|
1107 S Alvarado St Ste 102 Los Angeles CA 90006-4161 | |
| (213) 380-9999 | |
| (213) 380-7904 |
| Full Name | La Paz Medical Group |
|---|---|
| Speciality | Surgery |
| Location | 1107 S Alvarado St Ste 102, Los Angeles, California |
| Authorized Official Name and Position | Loghman Abdian (MD) |
| Authorized Official Contact | 2133809999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Paz Medical Group 1107 S Alvarado St Ste 102 Los Angeles CA 90006-4161 Ph: (213) 380-9999 | La Paz Medical Group 1107 S Alvarado St Ste 102 Los Angeles CA 90006-4161 Ph: (213) 380-9999 |
| NPI Number | 1710077961 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 05/29/2020 |
| Medicare PECOS PAC ID | 7113096348 |
|---|---|
| Medicare Enrollment ID | O20080514000467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710077961 | NPI | - | NPPES |
| GR0066660 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| Provider Name | Loghman Abdian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356554802 PECOS PAC ID: 6103995337 Enrollment ID: I20080514000580 |
| Provider Name | Pedram S Abdian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891021531 PECOS PAC ID: 8325224108 Enrollment ID: I20110511000614 |
| Provider Name | Jasmine Aghajani |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1871966622 PECOS PAC ID: 3375965601 Enrollment ID: I20200615002858 |
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