<unavail> in Los Angeles, CA

is a primary clinic (Clinic/center - Primary Care) in Los Angeles, California. The current practice location for is 4055 E Olympic Blvd, Suite 210, Los Angeles, California. For appointments, you can reach them via phone at (323) 268-3491. The mailing address for is 4055 E Olympic Blvd, Suite 210, Los Angeles, California and phone number is (323) 268-3491.

is licensed to practice in California (license number 20A5142) and its NPI number is 1013265214. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (323) 268-3491.

Contact Information


	4055 E Olympic Blvd Suite 210 Los Angeles CA 90023-3345
	(323) 268-3491
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Primary Care
Location	4055 E Olympic Blvd, Los Angeles, California
Authorized Official Name and Position	Randall G Shue (PRESIDENT)
Authorized Official Contact	3232683491
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
4055 E Olympic Blvd Suite 210 Los Angeles CA 90023-3345 Ph: (323) 268-3491	4055 E Olympic Blvd Suite 210 Los Angeles CA 90023-3345 Ph: (323) 268-3491

NPI Details:

NPI Number	1013265214
Provider Enumeration Date	08/17/2012
Last Update Date	08/17/2012

Medical Identifiers

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

Identifier	Type	State	Issuer
1013265214	NPI	-	NPPES
00AX51420	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	20A5142 (California)	Primary

Reviews and Comments

Clinic/Center in Los Angeles, CA

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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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- Primary Care in Los Angeles, CA