| One West Medical Group | |
|
3484 E 1st St Los Angeles CA 90063-2946 | |
| (310) 553-5203 | |
| (310) 652-0933 |
| Full Name | One West Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 3484 E 1st St, Los Angeles, California |
| Authorized Official Name and Position | Ashley Alfred Wool-smith (MANAGER) |
| Authorized Official Contact | 3105535203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One West Medical Group Po Box 894874 Los Angeles CA 90189-4874 Ph: () - | One West Medical Group 3484 E 1st St Los Angeles CA 90063-2946 Ph: (310) 553-5203 |
| NPI Number | 1134666811 |
|---|---|
| Provider Enumeration Date | 01/19/2017 |
| Last Update Date | 01/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134666811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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