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1138 N Western Ave Los Angeles CA 90029-1702 | |
(323) 957-9300 | |
(323) 957-9315 |
Full Name | |
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Speciality | General Practice |
Location | 1138 N Western Ave, Los Angeles, California |
Authorized Official Name and Position | Mike Mansour Rostami (MEDICAL DIRECTOR/ OWNER) |
Authorized Official Contact | 3239579300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1138 North Western Ave Los Angeles CA 90029-1702 Ph: (323) 957-9300 | 1138 N Western Ave Los Angeles CA 90029-1702 Ph: (323) 957-9300 |
NPI Number | 1023524980 |
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Provider Enumeration Date | 12/14/2017 |
Last Update Date | 12/20/2017 |
Identifier | Type | State | Issuer |
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1023524980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | A50108 (California) | 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 | |