Medical Central Family Care | |
530 E Washington Blvd Los Angeles CA 90015-3723 | |
(213) 747-2626 | |
(213) 749-7500 |
Full Name | Medical Central Family Care |
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Speciality | General Practice |
Location | 530 E Washington Blvd, Los Angeles, California |
Authorized Official Name and Position | Afshin Akhavan (PRESIDENT AND MEDICAL DIRECTOR) |
Authorized Official Contact | 3237301663 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medical Central Family Care 530 E Washington Blvd Los Angeles CA 90015-3723 Ph: (213) 747-2626 | Medical Central Family Care 530 E Washington Blvd Los Angeles CA 90015-3723 Ph: (213) 747-2626 |
NPI Number | 1821210329 |
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Provider Enumeration Date | 05/03/2007 |
Last Update Date | 10/15/2014 |
Medicare PECOS PAC ID | 3476516576 |
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Medicare Enrollment ID | O20041109001272 |
Identifier | Type | State | Issuer |
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1821210329 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 20A7610 (California) | Primary |
Provider Name | Afshin Akhavan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003952797 PECOS PAC ID: 4385607480 Enrollment ID: I20041112000285 |
Provider Name | Khosrow I Daneshvar |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1982701645 PECOS PAC ID: 8729119029 Enrollment ID: I20100630000783 |
Provider Name | Jennifer Rae Knutson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770037715 PECOS PAC ID: 9739461989 Enrollment ID: I20170123002516 |
Provider Name | Vicki P Cheng |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255994216 PECOS PAC ID: 5799013199 Enrollment ID: I20190822003833 |
Provider Name | Eliana Hill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649732454 PECOS PAC ID: 5395073399 Enrollment ID: I20190829001685 |
Provider Name | Kimberly Frances Brinckerhoff-hakim |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730774944 PECOS PAC ID: 5193124394 Enrollment ID: I20211102002198 |
Provider Name | Elaine Minh Chau Tran |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770241879 PECOS PAC ID: 4880088301 Enrollment ID: I20220228001075 |
Provider Name | Myloan Tran Hoang |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700568979 PECOS PAC ID: 8527416734 Enrollment ID: I20231129001202 |
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