| Socalphysicianshousecall Corp | |
|
231 W Vernon Ave Ste 201 Los Angeles CA 90037-2779 | |
| (323) 828-7929 | |
| Not Available |
| Full Name | Socalphysicianshousecall Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 231 W Vernon Ave Ste 201, Los Angeles, California |
| Authorized Official Name and Position | Barnett John Wesley Grier (CEO) |
| Authorized Official Contact | 3238287929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Socalphysicianshousecall Corp 231 W Vernon Ave Ste 201 Los Angeles CA 90037-2779 Ph: (323) 828-7929 | Socalphysicianshousecall Corp 231 W Vernon Ave Ste 201 Los Angeles CA 90037-2779 Ph: (323) 828-7929 |
| NPI Number | 1104555366 |
|---|---|
| Provider Enumeration Date | 06/05/2022 |
| Last Update Date | 07/10/2022 |
| Medicare PECOS PAC ID | 5991174781 |
|---|---|
| Medicare Enrollment ID | O20230301002126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104555366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Barnett J. W. Grier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932233665 PECOS PAC ID: 5092760652 Enrollment ID: I20060223000847 |
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