| Pacific Alliance Medical Group | |
|
4837 Huntington Dr N Los Angeles CA 90032-1953 | |
| (323) 343-9460 | |
| (323) 343-9466 |
| Full Name | Pacific Alliance Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 4837 Huntington Dr N, Los Angeles, California |
| Authorized Official Name and Position | Shi-yin Wong (CHAIRMAN) |
| Authorized Official Contact | 2138308950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Alliance Medical Group 711 W College St 628 Los Angeles CA 90012-1163 Ph: (213) 830-8920 | Pacific Alliance Medical Group 4837 Huntington Dr N Los Angeles CA 90032-1953 Ph: (323) 343-9460 |
| NPI Number | 1972551174 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 06/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972551174 | NPI | - | NPPES |
| GR0057544 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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