Medela Medical Group Inc | |
3755 Beverly Blvd Apt 303 Los Angeles CA 90004-3540 | |
(323) 522-3677 | |
(323) 522-3678 |
Full Name | Medela Medical Group Inc |
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Speciality | Internal Medicine |
Location | 3755 Beverly Blvd Apt 303, Los Angeles, California |
Authorized Official Name and Position | Sachchida Nand Sinha (PRESIDENT) |
Authorized Official Contact | 3235223677 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medela Medical Group Inc 3755 Beverly Blvd Apt 303 Los Angeles CA 90004-3540 Ph: (323) 522-3677 | Medela Medical Group Inc 3755 Beverly Blvd Apt 303 Los Angeles CA 90004-3540 Ph: (323) 522-3677 |
NPI Number | 1528685278 |
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Provider Enumeration Date | 06/29/2020 |
Last Update Date | 06/29/2020 |
Medicare PECOS PAC ID | 7012334253 |
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Medicare Enrollment ID | O20200902000894 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528685278 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Sachchida N Sinha |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629118468 PECOS PAC ID: 2769430420 Enrollment ID: I20050110000380 |
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