| Los Angeles Jewish Home Ipa | |
|
7150 Tampa Ave Reseda CA 91335-3700 | |
| (818) 774-3000 | |
| (818) 757-4401 |
| Full Name | Los Angeles Jewish Home Ipa |
|---|---|
| Speciality | Internal Medicine |
| Location | 7150 Tampa Ave, Reseda, California |
| Authorized Official Name and Position | Noachim Marco (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 8187743032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Los Angeles Jewish Home Ipa 7150 Tampa Ave Reseda CA 91335-3700 Ph: (818) 774-3000 | Los Angeles Jewish Home Ipa 7150 Tampa Ave Reseda CA 91335-3700 Ph: (818) 774-3000 |
| NPI Number | 1962862110 |
|---|---|
| Provider Enumeration Date | 03/01/2016 |
| Last Update Date | 03/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962862110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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