La Vida Clinic Inc | |
2428 W Whittier Blvd Montebello CA 90640-3041 | |
(323) 722-5550 | |
Not Available |
Full Name | La Vida Clinic Inc |
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Speciality | Internal Medicine |
Location | 2428 W Whittier Blvd, Montebello, California |
Authorized Official Name and Position | Neil Katchman (CEO) |
Authorized Official Contact | 3237225550 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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La Vida Clinic Inc 2428 W Whittier Blvd Montebello CA 90640-3041 Ph: (323) 722-5550 | La Vida Clinic Inc 2428 W Whittier Blvd Montebello CA 90640-3041 Ph: (323) 722-5550 |
NPI Number | 1720824220 |
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Provider Enumeration Date | 07/03/2024 |
Last Update Date | 07/03/2024 |
Medicare PECOS PAC ID | 4183165079 |
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Medicare Enrollment ID | O20240918004225 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720824220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Neil D Katchman |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1053366047 PECOS PAC ID: 1153399019 Enrollment ID: I20040920000520 |
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