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115 E. 3rd Street Los Angeles CA 90013-1301 | |
(323) 201-4516 | |
(323) 215-0170 |
Full Name | |
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Speciality | Clinic/center - Community Health |
Location | 115 E. 3rd Street, Los Angeles, California |
Authorized Official Name and Position | Alvaro P. Ballesteros (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3232014516 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5650 Jillson Street Commerce CA 90040-1482 Ph: (323) 201-4516 | 115 E. 3rd Street Los Angeles CA 90013-1301 Ph: (323) 201-4516 |
NPI Number | 1003367590 |
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Provider Enumeration Date | 10/19/2016 |
Last Update Date | 10/19/2016 |
Identifier | Type | State | Issuer |
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1003367590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | (* (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 | |