<unavail> in Los Angeles, CA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Los Angeles, California. The current practice location for is 8114 S Vermont Ave, Los Angeles, California. For appointments, you can reach them via phone at (323) 789-5610. The mailing address for is 711 W Florence Ave, Los Angeles, California and phone number is (323) 789-5610.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1306547138. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (323) 789-5610.

Contact Information


	8114 S Vermont Ave Los Angeles CA 90044-3536
	(323) 789-5610
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	8114 S Vermont Ave, Los Angeles, California
Authorized Official Name and Position	Alfredo Reynoso (CHIEF OPERATING OFFICER)
Authorized Official Contact	3233135588
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
711 W Florence Ave Los Angeles CA 90044-6105 Ph: (323) 789-5610	8114 S Vermont Ave Los Angeles CA 90044-3536 Ph: (323) 789-5610

NPI Details:

NPI Number	1306547138
Provider Enumeration Date	03/17/2023
Last Update Date	05/23/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	8628173564
Medicare Enrollment ID	O20240711001981

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306547138	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QC1500X	Clinic/center - Community Health	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Menal Ashok Jham
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1477990810 PECOS PAC ID: 4284935578 Enrollment ID: I20200710002766

Reviews and Comments

Clinic/Center in Los Angeles, CA

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
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 985 W Vernon Ave, Los Angeles, CA 90037 Phone: 323-234-6300
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5811 S San Pedro St, Los Angeles, CA 90011 Phone: 213-553-1800
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
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Citadel Dr, Ste 490, Los Angeles, CA 90040 Phone: 323-725-8751 Fax: 323-889-7399
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
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595

- Medicare Primary Care in Los Angeles, CA