| Los Angeles Medical Center | |
|
319 N Soto St Los Angeles CA 90033-1837 | |
| (323) 266-6730 | |
| (323) 266-6750 |
| Full Name | Los Angeles Medical Center |
|---|---|
| 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 |
|---|---|
| Los Angeles Medical Center 1930 Wilshire Blvd Los Angeles CA 90057-3605 Ph: (213) 483-2620 | Los Angeles Medical Center 319 N Soto St Los Angeles CA 90033-1837 Ph: (323) 266-6730 |
| NPI Number | 1457460503 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 11/04/2021 |
| Medicare PECOS PAC ID | 9032502661 |
|---|---|
| Medicare Enrollment ID | O20220203000905 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457460503 | NPI | - | NPPES |
| GR0004062 | Medicaid | CA |
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