Mobile Wound Care & Multi-specialty Medical Group | |
1425 W Manchester Ave Ste A Los Angeles CA 90047-5436 | |
(626) 869-6050 | |
Not Available |
Full Name | Mobile Wound Care & Multi-specialty Medical Group |
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Speciality | Clinic/center - Multi-specialty |
Location | 1425 W Manchester Ave Ste A, Los Angeles, California |
Authorized Official Name and Position | Daniel Shane Davidson (CEO) |
Authorized Official Contact | 3102121500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mobile Wound Care & Multi-specialty Medical Group 1270 S Alfred St Unit 1064 Los Angeles CA 90035-2506 Ph: (310) 212-1500 | Mobile Wound Care & Multi-specialty Medical Group 1425 W Manchester Ave Ste A Los Angeles CA 90047-5436 Ph: (626) 869-6050 |
NPI Number | 1093561938 |
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Provider Enumeration Date | 04/29/2024 |
Last Update Date | 04/29/2024 |
Identifier | Type | State | Issuer |
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1093561938 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (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 | |