| |
1005 E Washington Blvd Los Angeles CA 90021-3020 | |
(213) 745-3636 | |
(213) 745-3626 |
Full Name | |
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Speciality | Family Medicine |
Location | 1005 E Washington Blvd, Los Angeles, California |
Authorized Official Name and Position | Hector Castillo (PRESIDENT) |
Authorized Official Contact | 2137453636 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1005 E Washington Blvd Los Angeles CA 90021-3020 Ph: (213) 745-3636 | 1005 E Washington Blvd Los Angeles CA 90021-3020 Ph: (213) 745-3636 |
NPI Number | 1912182684 |
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Provider Enumeration Date | 12/31/2007 |
Last Update Date | 02/28/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912182684 | NPI | - | NPPES |
00A929650 | Medicaid | CA | |
00A761580 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A76158 (California) | 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 | |