Sid Kohan Md Incorporated | |
821 N Bundy Dr Los Angeles CA 90049-1506 | |
(818) 618-9930 | |
Not Available |
Full Name | Sid Kohan Md Incorporated |
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Speciality | Internal Medicine |
Location | 821 N Bundy Dr, Los Angeles, California |
Authorized Official Name and Position | Sid Kohan (AUTHORIZED OFFICAL/ OWNER) |
Authorized Official Contact | 8186189930 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sid Kohan Md Incorporated 821 N Bundy Dr Los Angeles CA 90049-1506 Ph: (818) 618-9930 | Sid Kohan Md Incorporated 821 N Bundy Dr Los Angeles CA 90049-1506 Ph: (818) 618-9930 |
NPI Number | 1194599860 |
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Provider Enumeration Date | 11/13/2023 |
Last Update Date | 11/13/2023 |
Medicare PECOS PAC ID | 3779936893 |
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Medicare Enrollment ID | O20240125000693 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194599860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Sid J Kohan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881698132 PECOS PAC ID: 0547347452 Enrollment ID: I20080402000613 |
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 | |