| Pico Clinica Medica Latina, A Medical Group, Inc | |
|
1600 W Pico Blvd Los Angeles CA 90015-2410 | |
| (213) 386-5252 | |
| (213) 386-5323 |
| Full Name | Pico Clinica Medica Latina, A Medical Group, Inc |
|---|---|
| Speciality | General Practice |
| Location | 1600 W Pico Blvd, Los Angeles, California |
| Authorized Official Name and Position | Teresita Alonzo Zareno (VICE PRESIDENT) |
| Authorized Official Contact | 2133865252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pico Clinica Medica Latina, A Medical Group, Inc 1600 W Pico Blvd Los Angeles CA 90015-2410 Ph: (213) 386-5252 | Pico Clinica Medica Latina, A Medical Group, Inc 1600 W Pico Blvd Los Angeles CA 90015-2410 Ph: (213) 386-5252 |
| NPI Number | 1740329101 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 12/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740329101 | NPI | - | NPPES |
| GR0082120 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A40110 (California) | Primary |
| 208D00000X | General Practice | A39524 (California) | Secondary |
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 |