| New World Multispecialty Medical Group, Inc. | |
|
1711 W Temple St Ste 7643 Los Angeles CA 90026-5421 | |
| (213) 388-2229 | |
| Not Available |
| Full Name | New World Multispecialty Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1711 W Temple St Ste 7643, Los Angeles, California |
| Authorized Official Name and Position | Peter H Sim (PRESIDENT) |
| Authorized Official Contact | 2133882229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New World Multispecialty Medical Group, Inc. Po Box 457 San Dimas CA 91773-0457 Ph: (909) 971-9334 | New World Multispecialty Medical Group, Inc. 1711 W Temple St Ste 7643 Los Angeles CA 90026-5421 Ph: (213) 388-2229 |
| NPI Number | 1265656904 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 03/13/2019 |
| Medicare PECOS PAC ID | 0446347017 |
|---|---|
| Medicare Enrollment ID | O20071029000489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265656904 | NPI | - | NPPES |
| Provider Name | Peter H Sim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659309672 PECOS PAC ID: 0749250983 Enrollment ID: I20040727000690 |
| Provider Name | Ling Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780765420 PECOS PAC ID: 8527089549 Enrollment ID: I20051216000748 |
| Provider Name | Loraine V Diego |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386689453 PECOS PAC ID: 5395832984 Enrollment ID: I20071029000735 |
| Provider Name | Hazel Evalle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992123806 PECOS PAC ID: 2567682776 Enrollment ID: I20141009001397 |
| Provider Name | Lynda Truc Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831617349 PECOS PAC ID: 4183965486 Enrollment ID: I20190415002909 |
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