City Medical Group Inc | |
1508 Florence Avenue Los Angeles CA 90009 | |
(323) 531-0915 | |
Not Available |
Full Name | City Medical Group Inc |
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Speciality | Family Medicine |
Location | 1508 Florence Avenue, Los Angeles, California |
Authorized Official Name and Position | Fred Onoh (OFFICE MANAGER) |
Authorized Official Contact | 3235310915 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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City Medical Group Inc Po Box 881916 Los Angeles CA 90009 Ph: (323) 531-0915 | City Medical Group Inc 1508 Florence Avenue Los Angeles CA 90009 Ph: (323) 531-0915 |
NPI Number | 1942756937 |
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Provider Enumeration Date | 08/30/2016 |
Last Update Date | 08/30/2016 |
Medicare PECOS PAC ID | 1153608187 |
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Medicare Enrollment ID | O20170501001040 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942756937 | NPI | - | NPPES |
A118311 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | NP14622 (California) | Primary |
207V00000X | Obstetrics & Gynecology | A118311 (California) | Secondary |
Provider Name | Youssef Lalezarian |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1922188259 PECOS PAC ID: 9335048891 Enrollment ID: I20040102000855 |
Provider Name | John C Lee |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609816917 PECOS PAC ID: 9335101914 Enrollment ID: I20041027000709 |
Provider Name | Okwii Agbo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548449572 PECOS PAC ID: 5698052413 Enrollment ID: I20170621000992 |
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