| |
6043 Hollywood Blvd Los Angeles CA 90028-5411 | |
(323) 653-1990 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 6043 Hollywood Blvd, Los Angeles, California |
Authorized Official Name and Position | Muriel Nouwezem (CEO) |
Authorized Official Contact | 3233371707 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8405 Beverly Blvd Los Angeles CA 90048-3401 Ph: (323) 653-1990 | 6043 Hollywood Blvd Los Angeles CA 90028-5411 Ph: (323) 653-1990 |
NPI Number | 1114668647 |
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Provider Enumeration Date | 04/06/2022 |
Last Update Date | 07/28/2022 |
Identifier | Type | State | Issuer |
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1114668647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | 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 | |