| White Memorial Medical Group, Inc. | |
|
1701 E Cesar E Chavez Ave, Suite 510, Los Angeles, CA 90033-2464 | |
| (323) 987-1362 | |
| (323) 987-1365 |
| Full Name | White Memorial Medical Group, Inc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 1701 E Cesar E Chavez Ave, Los Angeles, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902055866 | NPI | - | NPPES |
| GRE001650 | Medicaid | CA | |
| CR0076 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | E3598 (California) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | E3598 (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| White Memorial Medical Group, Inc. Po Box 51741, Los Angeles, CA 90051-6041 Ph: (323) 987-1362 | White Memorial Medical Group, Inc. 1701 E Cesar E Chavez Ave, Suite 510, Los Angeles, CA 90033-2464 Ph: (323) 987-1362 |
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Dr. Pegah Samouhi, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8631 W 3rd St, Los Angeles, CA 90048 Phone: 310-657-2828 | |
University Foot And Ankle Institute A Podiatric Surgical Center Podiatrist Medicare: Medicare Enrolled Practice Location: 3984 S Figueroa St, Los Angeles, CA 90037 Phone: 213-747-7272 Fax: 310-791-3311 | |
Charles E Ananian, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3616 E 1st St, Los Angeles, CA 90063 Phone: 323-264-6157 Fax: 323-264-0099 |