Passport Health Los Angeles | |
5455 Wilshire Blvd Suite #1802 Los Angeles CA 90036-4201 | |
(323) 297-0700 | |
(323) 549-9423 |
Full Name | Passport Health Los Angeles |
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Speciality | Clinic/center |
Location | 5455 Wilshire Blvd, Los Angeles, California |
Authorized Official Name and Position | Rayann Aziz (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3232970700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Passport Health Los Angeles 5455 Wilshire Blvd Suite #1802 Los Angeles CA 90036-4201 Ph: (323) 297-0700 | Passport Health Los Angeles 5455 Wilshire Blvd Suite #1802 Los Angeles CA 90036-4201 Ph: (323) 297-0700 |
NPI Number | 1275866188 |
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Provider Enumeration Date | 09/09/2009 |
Last Update Date | 09/09/2009 |
Identifier | Type | State | Issuer |
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1275866188 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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 | |