| |
545 S San Pedro St Los Angeles CA 90013-2101 | |
(213) 673-4849 | |
(213) 673-4581 |
Full Name | |
---|---|
Speciality | Clinic/center - Community Health |
Location | 545 S San Pedro St, Los Angeles, California |
Authorized Official Name and Position | Adeline Nyamathi (ADMINISTRATOR/ASSOCIATE DEAN) |
Authorized Official Contact | 3102067433 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
545 S San Pedro St Los Angeles CA 90013-2101 Ph: (213) 673-4849 | 545 S San Pedro St Los Angeles CA 90013-2101 Ph: (213) 673-4849 |
NPI Number | 1285893776 |
---|---|
Provider Enumeration Date | 06/09/2008 |
Last Update Date | 02/04/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285893776 | NPI | - | NPPES |
EAP70366F | Other | CA | EAPC EXPANDED ACCESS TO PRIMARY CARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | 960000279 (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 | |