St. Bishoy Medical Group | |
1700 E Cesar E Chavez Ave Ste 3900 Los Angeles CA 90033-2436 | |
(424) 777-0025 | |
(424) 777-0344 |
Full Name | St. Bishoy Medical Group |
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Speciality | General Practice |
Location | 1700 E Cesar E Chavez Ave Ste 3900, Los Angeles, California |
Authorized Official Name and Position | Bishoy G Kamel (MD) |
Authorized Official Contact | 3107109102 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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St. Bishoy Medical Group 8545 Saturn St Apt 103 Los Angeles CA 90035-3658 Ph: (424) 777-0025 | St. Bishoy Medical Group 1700 E Cesar E Chavez Ave Ste 3900 Los Angeles CA 90033-2436 Ph: (424) 777-0025 |
NPI Number | 1851913917 |
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Provider Enumeration Date | 05/12/2020 |
Last Update Date | 03/07/2023 |
Medicare PECOS PAC ID | 1951718113 |
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Medicare Enrollment ID | O20210406001008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851913917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Bishoy G Kamel |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1992169643 PECOS PAC ID: 4981949211 Enrollment ID: I20181214001280 |
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