| |
3834 S Western Ave Los Angeles CA 90062-1104 | |
(323) 730-3507 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Public Health, State Or Local |
Location | 3834 S Western Ave, Los Angeles, California |
Authorized Official Name and Position | Barbara Ferrer (DIRECTOR OF PUBLIC HEALTH) |
Authorized Official Contact | 2132408117 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3834 S Western Ave Los Angeles CA 90062-1104 Ph: (323) 730-3507 | 3834 S Western Ave Los Angeles CA 90062-1104 Ph: (323) 730-3507 |
NPI Number | 1487848248 |
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Provider Enumeration Date | 09/04/2007 |
Last Update Date | 05/10/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487848248 | NPI | - | NPPES |
ZZW16014G | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP0905X | Clinic/center - Public Health, State Or Local | (* (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 | |
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