| Larchmont Medical Center And Urgent Care Pc | |
|
321 N Larchmont Blvd Ste 404 Los Angeles CA 90004-6404 | |
| (818) 850-5667 | |
| (818) 839-2303 |
| Full Name | Larchmont Medical Center And Urgent Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 321 N Larchmont Blvd Ste 404, Los Angeles, California |
| Authorized Official Name and Position | Antonio Zamorano (CEO) |
| Authorized Official Contact | 8188505667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larchmont Medical Center And Urgent Care Pc 1030 S Glendale Ave Ste 200 Glendale CA 91205-2866 Ph: (818) 850-5667 | Larchmont Medical Center And Urgent Care Pc 321 N Larchmont Blvd Ste 404 Los Angeles CA 90004-6404 Ph: (818) 850-5667 |
| NPI Number | 1053826263 |
|---|---|
| Provider Enumeration Date | 12/11/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053826263 | NPI | - | NPPES |
| 20A10630 | Other | CA | OSTEOPATHIC MEDICAL LICENCE |
| 1043482060 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A10630 (California) | Primary |
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