| |
313 N Figueroa St Suite 1225 Los Angeles CA 90012-2602 | |
(213) 240-7717 | |
(213) 975-9623 |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 313 N Figueroa St, Los Angeles, California |
Authorized Official Name and Position | Shane Dsouza (PHARMACY SERVICES CHIEF) |
Authorized Official Contact | 2132407717 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
313 N Figueroa St Suite 1225 Los Angeles CA 90012-2602 Ph: (213) 240-7717 | 313 N Figueroa St Suite 1225 Los Angeles CA 90012-2602 Ph: (213) 240-7717 |
NPI Number | 1417364811 |
---|---|
Provider Enumeration Date | 07/17/2014 |
Last Update Date | 04/29/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417364811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | PHE 51883 (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 | |