| |
3410 S. Hooper Ave. Los Angeles CA 90011-2161 | |
(323) 908-4200 | |
(323) 908-4256 |
Full Name | |
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Speciality | Clinic/Center |
Location | 3410 S. Hooper Ave., Los Angeles, California |
Authorized Official Name and Position | Richard A Veloz (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3239084247 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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4425 S Central Ave Los Angeles CA 90011-3629 Ph: (323) 908-4200 | 3410 S. Hooper Ave. Los Angeles CA 90011-2161 Ph: (323) 908-4200 |
NPI Number | 1588908305 |
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Provider Enumeration Date | 11/16/2012 |
Last Update Date | 07/02/2021 |
Medicare PECOS PAC ID | 5597675041 |
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Medicare Enrollment ID | O20210719002659 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588908305 | 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 | |