| Pacifica Health Foundation | |
|
1300 N Vermont Ave Los Angeles CA 90027-6098 | |
| (213) 913-4853 | |
| Not Available |
| Full Name | Pacifica Health Foundation |
|---|---|
| Speciality | Clinic/Center |
| Location | 1300 N Vermont Ave, Los Angeles, California |
| Authorized Official Name and Position | Samir Talwar (DIRECTOR) |
| Authorized Official Contact | 3239066049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacifica Health Foundation 3731 Wilshire Blvd Los Angeles CA 90010-2830 Ph: () - | Pacifica Health Foundation 1300 N Vermont Ave Los Angeles CA 90027-6098 Ph: (213) 913-4853 |
| NPI Number | 1356998272 |
|---|---|
| Provider Enumeration Date | 08/26/2019 |
| Last Update Date | 01/19/2021 |
| Medicare PECOS PAC ID | 1850726290 |
|---|---|
| Medicare Enrollment ID | O20200114000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356998272 | NPI | - | NPPES |
| Provider Name | Antuan Kiley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619140050 PECOS PAC ID: 4880798636 Enrollment ID: I20090512000450 |
| Provider Name | Matthew Chan |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1699927178 PECOS PAC ID: 5496944233 Enrollment ID: I20110111000203 |
| Provider Name | Jamie C Lin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588960538 PECOS PAC ID: 8022286780 Enrollment ID: I20110725000035 |
| Provider Name | Ben Ha |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043305774 PECOS PAC ID: 6800066523 Enrollment ID: I20120125000840 |
| Provider Name | Alfred S Hong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689901746 PECOS PAC ID: 6608033873 Enrollment ID: I20120131000802 |
| Provider Name | Wendell D Wyatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316906696 PECOS PAC ID: 8820068968 Enrollment ID: I20170621003202 |
| Provider Name | Somsupha Kanjanauthai |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285843979 PECOS PAC ID: 9537315965 Enrollment ID: I20180830003239 |
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 | |
Clinica Virgen De Guadalupe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 985 W Vernon Ave, Los Angeles, CA 90037 Phone: 323-234-6300 | |
Ssg San Pedro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5811 S San Pedro St, Los Angeles, CA 90011 Phone: 213-553-1800 | |
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 Medical Group Eapc Prop 99 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Citadel Dr, Ste 490, Los Angeles, CA 90040 Phone: 323-725-8751 Fax: 323-889-7399 | |
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 | |
Apla Health & Wellness - David Geffen Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595 |