| Advanced Family Care Medical Group Inc | |
|
1201 E Florence Ave Los Angeles CA 90001-2432 | |
| (323) 588-0084 | |
| Not Available |
| Full Name | Advanced Family Care Medical Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1201 E Florence Ave, Los Angeles, California |
| Authorized Official Name and Position | Lorna Johnson (ADMINISTRATOR) |
| Authorized Official Contact | 3235880084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Family Care Medical Group Inc 1201 E Florence Ave Los Angeles CA 90001-2432 Ph: (323) 588-0084 | Advanced Family Care Medical Group Inc 1201 E Florence Ave Los Angeles CA 90001-2432 Ph: (323) 588-0084 |
| NPI Number | 1033267216 |
|---|---|
| Provider Enumeration Date | 01/06/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7113960402 |
|---|---|
| Medicare Enrollment ID | O20050607001343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033267216 | NPI | - | NPPES |
| GR0077511 | Medicaid | CA |
| Provider Name | Lorna M Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417005695 PECOS PAC ID: 9931142221 Enrollment ID: I20050607001350 |
| Provider Name | James D Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780912683 PECOS PAC ID: 4284820846 Enrollment ID: I20101122000385 |
| Provider Name | Rose N Ekejiuba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356677454 PECOS PAC ID: 8527214998 Enrollment ID: I20120820000291 |
| Provider Name | Kn Solomon Mbagwu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467599605 PECOS PAC ID: 6002042124 Enrollment ID: I20131127001279 |
| Provider Name | Margarita Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285912741 PECOS PAC ID: 5890927487 Enrollment ID: I20140414001460 |
| Provider Name | Sonia Velasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164768412 PECOS PAC ID: 2961634555 Enrollment ID: I20140414001518 |
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