Sabena Toor A California Professional Medical Corporation | |
8635 W 3rd St Ste 355w Los Angeles CA 90048-6112 | |
(310) 967-3075 | |
(310) 652-9133 |
Full Name | Sabena Toor A California Professional Medical Corporation |
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Speciality | Internal Medicine |
Location | 8635 W 3rd St Ste 355w, Los Angeles, California |
Authorized Official Name and Position | Sabena Toor (PRESIDENT) |
Authorized Official Contact | 3109673075 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sabena Toor A California Professional Medical Corporation 8635 W 3rd St Ste 355w Los Angeles CA 90048-6112 Ph: (310) 967-3075 | Sabena Toor A California Professional Medical Corporation 8635 W 3rd St Ste 355w Los Angeles CA 90048-6112 Ph: (310) 967-3075 |
NPI Number | 1265563027 |
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Provider Enumeration Date | 03/07/2007 |
Last Update Date | 09/15/2020 |
Medicare PECOS PAC ID | 6800967589 |
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Medicare Enrollment ID | O20080624000593 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265563027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G71637 (California) | Primary |
Provider Name | Sabena Toor |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1013097088 PECOS PAC ID: 5092886770 Enrollment ID: I20080624000583 |
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