S & S Medical Group, Inc. | |
648 E 21st St Los Angeles CA 90011-1146 | |
(213) 749-7110 | |
(213) 749-2749 |
Full Name | S & S Medical Group, Inc. |
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Speciality | Clinic/Center |
Location | 648 E 21st St, Los Angeles, California |
Authorized Official Name and Position | Steven Ghalili (PHYSICIAN) |
Authorized Official Contact | 2137497110 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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S & S Medical Group, Inc. 648 E 21st St Los Angeles CA 90011-1146 Ph: (213) 749-7110 | S & S Medical Group, Inc. 648 E 21st St Los Angeles CA 90011-1146 Ph: (213) 749-7110 |
NPI Number | 1548458987 |
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Provider Enumeration Date | 10/10/2007 |
Last Update Date | 01/23/2024 |
Medicare PECOS PAC ID | 6507843307 |
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Medicare Enrollment ID | O20040630000436 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548458987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | A66615 (California) | Primary |
Provider Name | Steven S Ghalili |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669546453 PECOS PAC ID: 0749267557 Enrollment ID: I20040702001298 |
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