| |
319 N Soto St Los Angeles CA 90033-1837 | |
(323) 266-6730 | |
(323) 266-6750 |
Full Name | |
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Speciality | Family Medicine |
Location | 319 N Soto St, Los Angeles, California |
Authorized Official Name and Position | Walter Jayasinghe (OWNER) |
Authorized Official Contact | 2134832620 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1930 Wilshire Blvd Los Angeles CA 90057-3605 Ph: (213) 483-2620 | 319 N Soto St Los Angeles CA 90033-1837 Ph: (323) 266-6730 |
NPI Number | 1457460503 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 11/04/2021 |
Medicare PECOS PAC ID | 9032502661 |
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Medicare Enrollment ID | O20220203000905 |
Identifier | Type | State | Issuer |
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1457460503 | NPI | - | NPPES |
GR0004062 | Medicaid | CA |
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 | |