Saint Mary Ped Neurog Med | |
6200 Wilshire Blvd Suite 1708 Los Angeles CA 90048-5818 | |
(323) 939-0008 | |
Not Available |
Full Name | Saint Mary Ped Neurog Med |
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Speciality | Neurological Surgery |
Location | 6200 Wilshire Blvd Suite 1708, Los Angeles, California |
Authorized Official Name and Position | Raafat Iskander (MEDICAL DIRECTOR) |
Authorized Official Contact | 3239390008 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Saint Mary Ped Neurog Med 6200 Wilshire Blvd Suite 1708 Los Angeles CA 90048-5818 Ph: (323) 939-0008 | Saint Mary Ped Neurog Med 6200 Wilshire Blvd Suite 1708 Los Angeles CA 90048-5818 Ph: (323) 939-0008 |
NPI Number | 1023281037 |
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Provider Enumeration Date | 04/10/2008 |
Last Update Date | 04/10/2008 |
Identifier | Type | State | Issuer |
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1023281037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A836040 (California) | Secondary |
207T00000X | Neurological Surgery | A836041 (California) | 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 | |
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 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 | |