| The Elizabeth Center For Cancer Detection | |
|
1127 Wilshire Blvd Suite 1000 Los Angeles CA 90017-4001 | |
| (213) 481-2511 | |
| (213) 481-1913 |
| Full Name | The Elizabeth Center For Cancer Detection |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1127 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Donald M Cook (CEO) |
| Authorized Official Contact | 2139778920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Elizabeth Center For Cancer Detection 1127 Wilshire Blvd Suite 1000 Los Angeles CA 90017-4001 Ph: (213) 481-2511 | The Elizabeth Center For Cancer Detection 1127 Wilshire Blvd Suite 1000 Los Angeles CA 90017-4001 Ph: (213) 481-2511 |
| NPI Number | 1871552653 |
|---|---|
| Provider Enumeration Date | 03/21/2006 |
| Last Update Date | 02/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871552653 | NPI | - | NPPES |
| CMM70685F | Medicaid | CA | |
| ZZZ53363Z | Other | CA | BLUE SHIELD OF CALIF |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 960000031 (California) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | 960000031 (California) | Secondary |
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