| Sunset Family Medical Clinic | |
|
4719 S Broadway Los Angeles CA 90037-3244 | |
| (323) 231-9983 | |
| (323) 231-9971 |
| Full Name | Sunset Family Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 4719 S Broadway, Los Angeles, California |
| Authorized Official Name and Position | Alfredo Enrique Sweeny (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3232319983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunset Family Medical Clinic 4719 S Broadway Los Angeles CA 90037-3244 Ph: (323) 231-9983 | Sunset Family Medical Clinic 4719 S Broadway Los Angeles CA 90037-3244 Ph: (323) 231-9983 |
| NPI Number | 1962538173 |
|---|---|
| Provider Enumeration Date | 02/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962538173 | NPI | - | NPPES |
| 00A250701 | Medicaid | CA | |
| GR0089100 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A25070 (California) | Primary |
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