Mirae Medical Clinic in Los Angeles, CA - Medicare Internal Medicine

Mirae Medical Clinic is a medicare enrolled primary clinic (Internal Medicine) in Los Angeles, California. The current practice location for Mirae Medical Clinic is 2675 W Olympic Blvd, Suite 202, Los Angeles, California. For appointments, you can reach them via phone at (213) 387-1541. The mailing address for Mirae Medical Clinic is 2675 W Olympic Blvd, Suite 202, Los Angeles, California and phone number is (213) 387-1541.

Mirae Medical Clinic is licensed to practice in California (license number A105825). The clinic also participates in the medicare program and its NPI number is 1407267586. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (213) 387-1541.

Contact Information

	Mirae Medical Clinic
	2675 W Olympic Blvd Suite 202 Los Angeles CA 90006-2880
	(213) 387-1541
	(866) 531-4907

Map and Direction

Primary Care Clinic Profile

Full Name	Mirae Medical Clinic
Speciality	Internal Medicine
Location	2675 W Olympic Blvd, Los Angeles, California
Authorized Official Name and Position	Hee Soo Jeong (PRESIDENT)
Authorized Official Contact	2133871541
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mirae Medical Clinic 2675 W Olympic Blvd Suite 202 Los Angeles CA 90006-2880 Ph: (213) 387-1541	Mirae Medical Clinic 2675 W Olympic Blvd Suite 202 Los Angeles CA 90006-2880 Ph: (213) 387-1541

NPI Details:

NPI Number	1407267586
Provider Enumeration Date	05/12/2014
Last Update Date	05/12/2014

Medicare PECOS Information:

Medicare PECOS PAC ID	0648495515
Medicare Enrollment ID	O20140709000648

Medical Identifiers

Medical identifiers for Mirae Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407267586	NPI	-	NPPES
A105825	Other	CA	PROFESSIONAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A105825 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mirae Medical Clinic acts as a billing entity for following providers:

Provider Name	Hee Soo Jeong
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1174701429 PECOS PAC ID: 5395890982 Enrollment ID: I20110307000894

Reviews and Comments

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Mirae Medical Clinic - Medicare Primary Care in Los Angeles, CA