Baron Medical Group | |
3800 Wilshire Blvd Ste 207a Los Angeles CA 90010-3233 | |
(213) 985-7777 | |
(213) 900-1030 |
Full Name | Baron Medical Group |
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Speciality | Family Medicine |
Location | 3800 Wilshire Blvd Ste 207a, Los Angeles, California |
Authorized Official Name and Position | Daesoon Leem (PRESIDENT) |
Authorized Official Contact | 2139857777 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Baron Medical Group 3800 Wilshire Blvd Ste 207a Los Angeles CA 90010-3233 Ph: (213) 985-7777 | Baron Medical Group 3800 Wilshire Blvd Ste 207a Los Angeles CA 90010-3233 Ph: (213) 985-7777 |
NPI Number | 1740969591 |
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Provider Enumeration Date | 07/17/2023 |
Last Update Date | 01/20/2025 |
Medicare PECOS PAC ID | 0042674459 |
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Medicare Enrollment ID | O20230918002233 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740969591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
Provider Name | Daesoon Leem |
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Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1902289226 PECOS PAC ID: 0749593697 Enrollment ID: I20200115000019 |
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 | |
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