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4036 Whittier Blvd Ste 200 Los Angeles CA 90023-2560 | |
(323) 796-0500 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 4036 Whittier Blvd, Los Angeles, California |
Authorized Official Name and Position | Horacio S Fleischman (OWNER) |
Authorized Official Contact | 3237960500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4036 Whittier Blvd Ste 200 Los Angeles CA 90023-2560 Ph: (323) 796-0500 | 4036 Whittier Blvd Ste 200 Los Angeles CA 90023-2560 Ph: (323) 796-0500 |
NPI Number | 1558606087 |
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Provider Enumeration Date | 12/10/2012 |
Last Update Date | 02/10/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558606087 | NPI | - | NPPES |
00A410690 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | A41069 (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 | |
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