| St. Anthony Medical Centers | |
|
2515 W Pico Blvd Los Angeles CA 90006-4003 | |
| (213) 384-4555 | |
| (213) 382-9555 |
| Full Name | St. Anthony Medical Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 2515 W Pico Blvd, Los Angeles, California |
| Authorized Official Name and Position | Awad Anthony (CEO) |
| Authorized Official Contact | 3234695555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Anthony Medical Centers 6368 Hollywood Blvd Hollywood CA 90028-6320 Ph: (323) 469-5555 | St. Anthony Medical Centers 2515 W Pico Blvd Los Angeles CA 90006-4003 Ph: (213) 384-4555 |
| NPI Number | 1952451031 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 05/08/2019 |
| Medicare PECOS PAC ID | 5395638092 |
|---|---|
| Medicare Enrollment ID | O20050817000797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952451031 | NPI | - | NPPES |
| HAP70868F | Other | CA | FAMILY PACT |
| FHC70868F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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