Saban Community Clinic | |
8405 Beverly Blvd Los Angeles CA 90048-3401 | |
(323) 653-8622 | |
Not Available |
Full Name | Saban Community Clinic |
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Speciality | Clinic/Center |
Location | 8405 Beverly Blvd, Los Angeles, California |
Authorized Official Name and Position | Muriel Nouwezem (CEO) |
Authorized Official Contact | 3233371707 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Saban Community Clinic 8405 Beverly Blvd Los Angeles CA 90048-3401 Ph: () - | Saban Community Clinic 8405 Beverly Blvd Los Angeles CA 90048-3401 Ph: (323) 653-8622 |
NPI Number | 1194893248 |
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Provider Enumeration Date | 11/30/2006 |
Last Update Date | 08/30/2024 |
Medicare PECOS PAC ID | 5395886311 |
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Medicare Enrollment ID | O20100112000638 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194893248 | NPI | - | NPPES |
FHC70701F | Medicaid | CA | |
CMM70945F | Medicaid | CA | |
EAP00005F | Medicaid | CA | |
BCP70654F | Medicaid | CA | |
BCP70701F | Medicaid | CA | |
HAP70654F | Medicaid | CA | |
FHC70654F | Medicaid | CA | |
HAP70701F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (California) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Tinh C Vuong |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750569885 PECOS PAC ID: 5395874549 Enrollment ID: I20100526000346 |
Provider Name | Stacey A Nadler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740326693 PECOS PAC ID: 8921280710 Enrollment ID: I20110316000116 |
Provider Name | Oswald Chan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780676882 PECOS PAC ID: 8729201736 Enrollment ID: I20140520002027 |
Provider Name | Farshid Fararooy |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922045939 PECOS PAC ID: 4082887187 Enrollment ID: I20140717000145 |
Provider Name | Armen Arshakyan |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1700158060 PECOS PAC ID: 3577880525 Enrollment ID: I20150331002417 |
Provider Name | Jennifer J Lee |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1669731295 PECOS PAC ID: 5890916266 Enrollment ID: I20160922001539 |
Provider Name | Ellen L Olaivar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407920192 PECOS PAC ID: 9234496365 Enrollment ID: I20171128002559 |
Provider Name | Veronica Mae Garcia |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356693675 PECOS PAC ID: 8426316340 Enrollment ID: I20171226002013 |
Provider Name | Jennifer M Nguyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609395649 PECOS PAC ID: 6800154667 Enrollment ID: I20171227002553 |
Provider Name | Ghassan Hani Nicola Khoury |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1003153214 PECOS PAC ID: 3274831649 Enrollment ID: I20180507002064 |
Provider Name | Hei Wah Wong |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720490790 PECOS PAC ID: 8022323609 Enrollment ID: I20190121000703 |
Provider Name | Nayan Patel |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1134578024 PECOS PAC ID: 8426386475 Enrollment ID: I20190828003850 |
Provider Name | Manisha Ati |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063980928 PECOS PAC ID: 1658704044 Enrollment ID: I20191125001499 |
Provider Name | Ik Jun |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417309915 PECOS PAC ID: 3476987249 Enrollment ID: I20200102002670 |
Provider Name | Seyed Parham Khalili |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942526405 PECOS PAC ID: 3678708344 Enrollment ID: I20200818000442 |
Provider Name | Amy M Yam |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912319914 PECOS PAC ID: 6800117730 Enrollment ID: I20220603002282 |
Provider Name | Roberto Ramos |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760943476 PECOS PAC ID: 1456737071 Enrollment ID: I20221005003336 |
Provider Name | Christine S Kim |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346733946 PECOS PAC ID: 5294103081 Enrollment ID: I20221129002029 |
Provider Name | Ryan Francis Gabriel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568028124 PECOS PAC ID: 9931433463 Enrollment ID: I20230629001795 |
Provider Name | Manvir Singh Dhillon |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083293252 PECOS PAC ID: 9335597525 Enrollment ID: I20231129000399 |
Provider Name | Helena Marie Garcia |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1396227898 PECOS PAC ID: 7315380896 Enrollment ID: I20240212003480 |
Provider Name | Melina Duarte Pinto |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1245424126 PECOS PAC ID: 7315380805 Enrollment ID: I20240212003836 |
Provider Name | Yanet Carina Gonzalez |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1265997100 PECOS PAC ID: 2062856354 Enrollment ID: I20240214002489 |
Provider Name | Jessica Elaine Keane |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1952950230 PECOS PAC ID: 7315381654 Enrollment ID: I20240214004225 |
Provider Name | Julissa Miro Quesada |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1679820393 PECOS PAC ID: 3173967312 Enrollment ID: I20240215003789 |
Provider Name | Elizabeth Maria Sanchez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023679768 PECOS PAC ID: 3173967155 Enrollment ID: I20240217000456 |
Provider Name | Jennifer Mary Matthes |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801313515 PECOS PAC ID: 8325482300 Enrollment ID: I20240217000528 |
Provider Name | Kendall Marie Keefe |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417413568 PECOS PAC ID: 6305280074 Enrollment ID: I20240221001848 |
Provider Name | Salmaan Zaki Kamal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023505534 PECOS PAC ID: 0547679631 Enrollment ID: I20240222003626 |
Provider Name | Daisy Luna-torres |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1508280637 PECOS PAC ID: 7911342688 Enrollment ID: I20240304003357 |
Provider Name | Brigid Quinn Donahue |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689949844 PECOS PAC ID: 2062857659 Enrollment ID: I20240305003809 |
Provider Name | Hugo Alberto Sanchez |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1871054148 PECOS PAC ID: 6800233214 Enrollment ID: I20240321000554 |
Provider Name | Zev Aaron Allison |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952930513 PECOS PAC ID: 6608215157 Enrollment ID: I20240416003267 |
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 | |
Clinica Virgen De Guadalupe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 985 W Vernon Ave, Los Angeles, CA 90037 Phone: 323-234-6300 | |
Ssg San Pedro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5811 S San Pedro St, Los Angeles, CA 90011 Phone: 213-553-1800 | |
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 Medical Group Eapc Prop 99 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Citadel Dr, Ste 490, Los Angeles, CA 90040 Phone: 323-725-8751 Fax: 323-889-7399 | |
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 | |
Apla Health & Wellness - David Geffen Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595 |