Vein Care Medical Center | |
6221 Wilshire Blvd Suite 612 Los Angeles CA 90048-5201 | |
(323) 934-9191 | |
(323) 934-0705 |
Full Name | Vein Care Medical Center |
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Speciality | Clinic/Center |
Location | 6221 Wilshire Blvd, Los Angeles, California |
Authorized Official Name and Position | Michael Dennis Landau (PRESIDENT) |
Authorized Official Contact | 3239349191 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vein Care Medical Center 6221 Wilshire Blvd Suite 612 Los Angeles CA 90048-5201 Ph: (323) 934-9191 | Vein Care Medical Center 6221 Wilshire Blvd Suite 612 Los Angeles CA 90048-5201 Ph: (323) 934-9191 |
NPI Number | 1992960967 |
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Provider Enumeration Date | 07/18/2008 |
Last Update Date | 02/02/2024 |
Medicare PECOS PAC ID | 6103979570 |
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Medicare Enrollment ID | O20090803000090 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992960967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | G58711 (California) | Primary |
Provider Name | Michael D Landau |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366514358 PECOS PAC ID: 0446303275 Enrollment ID: I20090727000701 |
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