| Saban Community Clinic | |
|
5205 Melrose Ave Los Angeles CA 90038-3144 | |
| (323) 653-8622 | |
| Not Available |
| Full Name | Saban Community Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 5205 Melrose Ave, 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 |
|---|---|
| Saban Community Clinic 5205 Melrose Ave Los Angeles CA 90038-3144 Ph: (323) 653-8622 | Saban Community Clinic 5205 Melrose Ave Los Angeles CA 90038-3144 Ph: (323) 653-8622 |
| NPI Number | 1336281179 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/30/2024 |
| Medicare PECOS PAC ID | 5395886311 |
|---|---|
| Medicare Enrollment ID | O20120919000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336281179 | NPI | - | NPPES |
| EAP00005F | Medicaid | CA | |
| HAP70701F | Medicaid | CA | |
| BCP70701F | Medicaid | CA | |
| BCP70654F | Medicaid | CA | |
| FHC70654F | Medicaid | CA | |
| HAP70654F | Medicaid | CA | |
| FHC70701F | Medicaid | CA | |
| CMM70945F | Medicaid | CA |
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