| Rumi K Lakha Do Inc | |
|
7136 Pacific Blvd Suite 225 Huntington Park CA 90255-4783 | |
| (323) 588-5467 | |
| (323) 589-6662 |
| Full Name | Rumi K Lakha Do Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7136 Pacific Blvd, Huntington Park, California |
| Authorized Official Name and Position | Rumi K Lakha (OWNER) |
| Authorized Official Contact | 3235848818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rumi K Lakha Do Inc 7136 Pacific Blvd Suite 225 Huntington Park CA 90255-4783 Ph: (323) 588-5467 | Rumi K Lakha Do Inc 7136 Pacific Blvd Suite 225 Huntington Park CA 90255-4783 Ph: (323) 588-5467 |
| NPI Number | 1750434866 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 04/15/2014 |
| Medicare PECOS PAC ID | 5193862514 |
|---|---|
| Medicare Enrollment ID | O20091016000268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750434866 | NPI | - | NPPES |
| 05D0950732 | Other | CA | CLIA |
| 97-751578 | Other | CA | SELLER'S PERMIT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A5074 (California) | Primary |
| Provider Name | Rumi K Lakha |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902092034 PECOS PAC ID: 8729978804 Enrollment ID: I20040319001426 |
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