<unavail> in Los Angeles, CA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Los Angeles, California. The current practice location for is 723 E Manchester Ave, Los Angeles, California. For appointments, you can reach them via phone at (323) 750-2325. The mailing address for is 723 E Manchester Ave, Los Angeles, California and phone number is (323) 750-2325.

is licensed to practice in California (license number 20A7522). The clinic also participates in the medicare program and its NPI number is 1053725317. 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 (323) 750-2325.

Contact Information


	723 E Manchester Ave Los Angeles CA 90001-3632
	(323) 750-2325
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	723 E Manchester Ave, Los Angeles, California
Authorized Official Name and Position	Prviz Akhavan (OWNER)
Authorized Official Contact	3237502325
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
723 E Manchester Ave Los Angeles CA 90001-3632 Ph: (323) 750-2325	723 E Manchester Ave Los Angeles CA 90001-3632 Ph: (323) 750-2325

NPI Details:

NPI Number	1053725317
Provider Enumeration Date	06/16/2014
Last Update Date	06/16/2014

Medicare PECOS Information:

Medicare PECOS PAC ID	9931327558
Medicare Enrollment ID	O20220804003525

Medical Identifiers

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

Identifier	Type	State	Issuer
1053725317	NPI	-	NPPES
DO769A	Other	CA	PTAN(S)

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	20A7522 (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. acts as a billing entity for following providers:

Provider Name	Parviz Akhavan
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1235286436 PECOS PAC ID: 0042288508 Enrollment ID: I20101006000818

Reviews and Comments

Clinic/Center in Los Angeles, CA

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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
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- Medicare Primary Care in Los Angeles, CA