| Los Angeles Primary Care | |
|
1711 W Temple St Ste 4691 Los Angeles CA 90026-7336 | |
| (213) 238-5887 | |
| (213) 444-7212 |
| Full Name | Los Angeles Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 1711 W Temple St Ste 4691, Los Angeles, California |
| Authorized Official Name and Position | Sera Ramadan (PHYSICIAN) |
| Authorized Official Contact | 2132385887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Los Angeles Primary Care 1711 W Temple St Ste 4691 Los Angeles CA 90026-7336 Ph: (213) 238-5887 | Los Angeles Primary Care 1711 W Temple St Ste 4691 Los Angeles CA 90026-7336 Ph: (213) 238-5887 |
| NPI Number | 1316582059 |
|---|---|
| Provider Enumeration Date | 11/15/2019 |
| Last Update Date | 08/19/2022 |
| Medicare PECOS PAC ID | 2567898505 |
|---|---|
| Medicare Enrollment ID | O20200211000543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316582059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ling Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780765420 PECOS PAC ID: 8527089549 Enrollment ID: I20051216000748 |
| Provider Name | Sera Ramadan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497141071 PECOS PAC ID: 0042556300 Enrollment ID: I20190108002983 |
| Provider Name | Wilson E Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326496167 PECOS PAC ID: 5890078174 Enrollment ID: I20191104001635 |
| Provider Name | Jessica Erene B Paz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326600289 PECOS PAC ID: 2567874258 Enrollment ID: I20201222002673 |
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