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5140 W Goldleaf Cir Ste 250 Los Angeles CA 90056-1299 | |
(866) 442-1382 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 5140 W Goldleaf Cir Ste 250, Los Angeles, California |
Authorized Official Name and Position | Cindy Meyer (PRESIDENT & CEO) |
Authorized Official Contact | 2623030580 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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34700 Valley Rd Oconomowoc WI 53066-4500 Ph: (800) 767-4411 | 5140 W Goldleaf Cir Ste 250 Los Angeles CA 90056-1299 Ph: (866) 442-1382 |
NPI Number | 1538700471 |
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Provider Enumeration Date | 10/02/2019 |
Last Update Date | 02/21/2024 |
Identifier | Type | State | Issuer |
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1538700471 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | 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 | |
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