| Woori Medical Center Corp | |
|
2655 W Olympic Blvd Suite 207 Los Angeles CA 90006-2484 | |
| (213) 388-7887 | |
| (213) 388-3504 |
| Full Name | Woori Medical Center Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 2655 W Olympic Blvd, Los Angeles, California |
| Authorized Official Name and Position | Seung R An (PRESIDENT) |
| Authorized Official Contact | 2133887887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woori Medical Center Corp 2655 W Olympic Blvd Suite 207 Los Angeles CA 90006-2484 Ph: (213) 388-7887 | Woori Medical Center Corp 2655 W Olympic Blvd Suite 207 Los Angeles CA 90006-2484 Ph: (213) 388-7887 |
| NPI Number | 1992751945 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 11/15/2013 |
| Medicare PECOS PAC ID | 5092779066 |
|---|---|
| Medicare Enrollment ID | O20041118000802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992751945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A42566 (California) | Primary |
| Provider Name | Lauri I An |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134168891 PECOS PAC ID: 4183664279 Enrollment ID: I20050509000352 |
| Provider Name | Seung Rog An |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942249792 PECOS PAC ID: 0042274029 Enrollment ID: I20120726000193 |
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