| |
5832 S Vermont Ave Los Angeles CA 90044-3712 | |
(323) 750-7354 | |
(323) 750-7446 |
Full Name | |
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Speciality | General Practice |
Location | 5832 S Vermont Ave, Los Angeles, California |
Authorized Official Name and Position | Nicholas A Rogers (MEDICAL DIRECTOR) |
Authorized Official Contact | 3237507354 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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5832 S Vermont Ave Los Angeles CA 90044-3712 Ph: (323) 750-7354 | 5832 S Vermont Ave Los Angeles CA 90044-3712 Ph: (323) 750-7354 |
NPI Number | 1497258263 |
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Provider Enumeration Date | 03/17/2018 |
Last Update Date | 03/17/2018 |
Medicare PECOS PAC ID | 7416499793 |
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Medicare Enrollment ID | O20240603002643 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497258263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Glenn E Miller |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1902108764 PECOS PAC ID: 0143127803 Enrollment ID: I20031229000722 |
Provider Name | Ira K Grove |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1659327112 PECOS PAC ID: 1052303526 Enrollment ID: I20040402000585 |
Provider Name | Sachchida N Sinha |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629118468 PECOS PAC ID: 2769430420 Enrollment ID: I20050110000380 |
Provider Name | Nicholas A Rogers |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1124203583 PECOS PAC ID: 7618128778 Enrollment ID: I20121119000438 |
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 | |