| La Town Medical Group, Inc. | |
|
3663 W 6th St Suite 206 Los Angeles CA 90020-3049 | |
| (213) 385-5500 | |
| (213) 385-1455 |
| Full Name | La Town Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3663 W 6th St, Los Angeles, California |
| Authorized Official Name and Position | Seung H Kim (CEO) |
| Authorized Official Contact | 2133855500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Town Medical Group, Inc. 3663 W 6th St Suite 206 Los Angeles CA 90020-3049 Ph: (213) 385-5500 | La Town Medical Group, Inc. 3663 W 6th St Suite 206 Los Angeles CA 90020-3049 Ph: (213) 385-5500 |
| NPI Number | 1831129063 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5193774016 |
|---|---|
| Medicare Enrollment ID | O20050118001013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831129063 | NPI | - | NPPES |
| GR0066630 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | A50035 (California) | Primary |
| Provider Name | Seung H Kim |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1134153653 PECOS PAC ID: 4688676802 Enrollment ID: I20070131000743 |
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