Patima Life Medical Group,inc | |
505 Shatto Pl 200 Los Angeles CA 90020-1754 | |
(213) 736-0450 | |
Not Available |
Full Name | Patima Life Medical Group,inc |
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Speciality | Internal Medicine - Geriatric Medicine |
Location | 505 Shatto Pl, Los Angeles, California |
Authorized Official Name and Position | Richard Chung (CFO) |
Authorized Official Contact | 2137360450 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Patima Life Medical Group,inc 505 Shatto Pl 200 Los Angeles CA 90020-1754 Ph: (213) 736-0450 | Patima Life Medical Group,inc 505 Shatto Pl 200 Los Angeles CA 90020-1754 Ph: (213) 736-0450 |
NPI Number | 1306142468 |
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Provider Enumeration Date | 02/07/2011 |
Last Update Date | 02/07/2011 |
Identifier | Type | State | Issuer |
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1306142468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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