| Symed-cal Medical Group | |
|
818 W 7th St Fl 2 Los Angeles CA 90017-3407 | |
| (800) 370-3651 | |
| (877) 515-7147 |
| Full Name | Symed-cal Medical Group |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 818 W 7th St Fl 2, Los Angeles, California |
| Authorized Official Name and Position | Melissa King (DIRECTOR, CREDENTIALING ENROLLMENT) |
| Authorized Official Contact | 8003703651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Symed-cal Medical Group 55 Hatchetts Hill Rd Old Lyme CT 06371-1534 Ph: (800) 370-3651 | Symed-cal Medical Group 818 W 7th St Fl 2 Los Angeles CA 90017-3407 Ph: (800) 370-3651 |
| NPI Number | 1396793196 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396793196 | NPI | - | NPPES |
| GNP000140 | Medicaid | CA | |
| DE3373 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
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