| Senior Care Clinic A Medical Corporation | |
|
1700 Cesar Chavez Ave # 3900 Los Angeles CA 90033-2414 | |
| (323) 307-0800 | |
| (323) 307-0803 |
| Full Name | Senior Care Clinic A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1700 Cesar Chavez Ave, Los Angeles, California |
| Authorized Official Name and Position | Azmy Fouad Ghaly (PRESIDENT) |
| Authorized Official Contact | 3233070800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Care Clinic A Medical Corporation 1700 Cesar Chavez Ave # 3900 Los Angeles CA 90033-2414 Ph: (323) 307-0800 | Senior Care Clinic A Medical Corporation 1700 Cesar Chavez Ave # 3900 Los Angeles CA 90033-2414 Ph: (323) 307-0800 |
| NPI Number | 1942354857 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 06/05/2023 |
| Medicare PECOS PAC ID | 6103872403 |
|---|---|
| Medicare Enrollment ID | O20050330000367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942354857 | NPI | - | NPPES |
| GR0089680 | Medicaid | CA |
| Provider Name | Julio A Loza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770696528 PECOS PAC ID: 6901993641 Enrollment ID: I20071029000219 |
| Provider Name | Marian A Fedak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245313683 PECOS PAC ID: 3274556493 Enrollment ID: I20080411000564 |
| Provider Name | Francisco M Quijas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659445823 PECOS PAC ID: 1759574155 Enrollment ID: I20101018001173 |
| Provider Name | Azmy F Ghaly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194899336 PECOS PAC ID: 1951212422 Enrollment ID: I20101018001249 |
| Provider Name | Eric Leung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194021683 PECOS PAC ID: 9133390131 Enrollment ID: I20110923000222 |
| Provider Name | Rene N Kohlieber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720377492 PECOS PAC ID: 5890928881 Enrollment ID: I20140428001013 |
| Provider Name | Hung C Phan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447505284 PECOS PAC ID: 2365765179 Enrollment ID: I20160428000643 |
| Provider Name | Ahmad Jabaiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396122081 PECOS PAC ID: 5092050377 Enrollment ID: I20181213002811 |
| Provider Name | Bishoy G Kamel |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1992169643 PECOS PAC ID: 4981949211 Enrollment ID: I20181214001280 |
| Provider Name | Thuan P Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982086898 PECOS PAC ID: 3870848963 Enrollment ID: I20200413002902 |
| Provider Name | Maliha F Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588154371 PECOS PAC ID: 8022400803 Enrollment ID: I20220128001240 |
| Provider Name | Mark M Henary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215490008 PECOS PAC ID: 2860864956 Enrollment ID: I20230220000621 |
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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 | |
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