Bienestar Human Services Inc | |
5326 E Beverly Blvd Los Angeles CA 90022-2104 | |
(866) 590-6411 | |
Not Available |
Full Name | Bienestar Human Services Inc |
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Speciality | Clinic/Center |
Location | 5326 E Beverly Blvd, Los Angeles, California |
Authorized Official Name and Position | Robert Contreras (CEO) |
Authorized Official Contact | 3233872405 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bienestar Human Services Inc 5326 E Beverly Blvd Los Angeles CA 90022-2104 Ph: (866) 590-6411 | Bienestar Human Services Inc 5326 E Beverly Blvd Los Angeles CA 90022-2104 Ph: (866) 590-6411 |
NPI Number | 1558901405 |
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Provider Enumeration Date | 01/08/2020 |
Last Update Date | 01/14/2021 |
Medicare PECOS PAC ID | 5991110108 |
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Medicare Enrollment ID | O20210222002212 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558901405 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Provider Name | Michael D Borookhim |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578576328 PECOS PAC ID: 5193625176 Enrollment ID: I20040116000318 |
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