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8215 Beverly Blvd Los Angeles CA 90048-4505 | |
(323) 655-3668 | |
(323) 655-3819 |
Full Name | |
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Speciality | Clinic/center |
Location | 8215 Beverly Blvd, Los Angeles, California |
Authorized Official Name and Position | Rachel N Freedland (VICE PRESIDENT) |
Authorized Official Contact | 3236553668 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8215 Beverly Blvd Los Angeles CA 90048-4505 Ph: (323) 655-3668 | 8215 Beverly Blvd Los Angeles CA 90048-4505 Ph: (323) 655-3668 |
NPI Number | 1033245691 |
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Provider Enumeration Date | 02/26/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033245691 | NPI | - | NPPES |
ZZZ19309Z | Other | CA | BLUE SHIELD |
000E29620 | Medicaid | CA | |
0298310001 | Other | CA | DMERC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | E2962 (California) | Primary |
Joseph I Kang Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004 Phone: 323-664-7777 | |
John L Sherman Md Amc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 Phone: 310-855-8081 Fax: 310-855-0438 | |
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 | |