| |
400 World Way Terminal 4 Los Angeles CA 90045-5888 | |
(310) 646-5520 | |
(310) 646-7568 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 400 World Way, Los Angeles, California |
Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Brentwood TN 37027-4948 Ph: () - | 400 World Way Terminal 4 Los Angeles CA 90045-5888 Ph: (310) 646-5520 |
NPI Number | 1548613474 |
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Provider Enumeration Date | 07/15/2016 |
Last Update Date | 08/25/2022 |
Identifier | Type | State | Issuer |
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1548613474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (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 | |