Premier Wound Care Of Los Angeles | |
711 W College St Ste 188 Los Angeles CA 90012-1093 | |
(213) 261-0889 | |
(213) 261-0889 |
Full Name | Premier Wound Care Of Los Angeles |
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Speciality | Internal Medicine |
Location | 711 W College St Ste 188, Los Angeles, California |
Authorized Official Name and Position | Shuo Steven Wang (CEO, MD) |
Authorized Official Contact | 2132610889 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Premier Wound Care Of Los Angeles 315 Wisteria Way Sierra Madre CA 91024-1137 Ph: (626) 679-5118 | Premier Wound Care Of Los Angeles 711 W College St Ste 188 Los Angeles CA 90012-1093 Ph: (213) 261-0889 |
NPI Number | 1366956690 |
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Provider Enumeration Date | 11/22/2017 |
Last Update Date | 11/22/2017 |
Medicare PECOS PAC ID | 6002176088 |
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Medicare Enrollment ID | O20180213000724 |
Identifier | Type | State | Issuer |
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1366956690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Shuo Steven Wang |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538232137 PECOS PAC ID: 3375645435 Enrollment ID: I20070221000284 |
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 | |
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