| |
200 S San Pedro St #303 Los Angeles CA 90012-5302 | |
(213) 680-7736 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 200 S San Pedro St, Los Angeles, California |
Authorized Official Name and Position | Hiroshi Mitsuoka (PRESIDENT) |
Authorized Official Contact | 2136802194 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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200 S San Pedro St #303 Los Angeles CA 90012-5302 Ph: (213) 680-7736 | 200 S San Pedro St #303 Los Angeles CA 90012-5302 Ph: (213) 680-7736 |
NPI Number | 1124292008 |
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Provider Enumeration Date | 04/22/2008 |
Last Update Date | 04/22/2008 |
Identifier | Type | State | Issuer |
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1124292008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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 | |