| |
5553 W Pico Blvd Los Angeles CA 90019-3919 | |
(310) 448-3499 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 5553 W Pico Blvd, Los Angeles, California |
Authorized Official Name and Position | Jessica Adaly Lemus (CEO) |
Authorized Official Contact | 3104483499 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
5553 W Pico Blvd Los Angeles CA 90019-3919 Ph: (310) 448-3499 | 5553 W Pico Blvd Los Angeles CA 90019-3919 Ph: (310) 448-3499 |
NPI Number | 1043739063 |
---|---|
Provider Enumeration Date | 09/11/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043739063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | 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 | |