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2618 S Western Ave Los Angeles CA 90018-2627 | |
(323) 730-9000 | |
(323) 730-4825 |
Full Name | |
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Speciality | Family Medicine |
Location | 2618 S Western Ave, Los Angeles, California |
Authorized Official Name and Position | Mahfouz M. Michael (MEDICAL DIRECTOR) |
Authorized Official Contact | 8182666432 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 291040 Los Angeles CA 90029-9040 Ph: (818) 994-0804 | 2618 S Western Ave Los Angeles CA 90018-2627 Ph: (323) 730-9000 |
NPI Number | 1649490822 |
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Provider Enumeration Date | 04/27/2007 |
Last Update Date | 08/22/2007 |
Identifier | Type | State | Issuer |
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1649490822 | NPI | - | NPPES |
GR0016852 | Medicaid | CA |
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 | |