| Consultorio Medico Latino Medical Center | |
|
15730 Paramount Blvd Paramount CA 90723-4333 | |
| (562) 634-1000 | |
| (562) 634-3048 |
| Full Name | Consultorio Medico Latino Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 15730 Paramount Blvd, Paramount, California |
| Authorized Official Name and Position | Behrooz Bruce Yagoobian (PRESIDENT) |
| Authorized Official Contact | 5626341000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Consultorio Medico Latino Medical Center Po Box 829 Paramount CA 90723-0829 Ph: (562) 634-1000 | Consultorio Medico Latino Medical Center 15730 Paramount Blvd Paramount CA 90723-4333 Ph: (562) 634-1000 |
| NPI Number | 1518996313 |
|---|---|
| Provider Enumeration Date | 07/02/2006 |
| Last Update Date | 03/30/2015 |
| Medicare PECOS PAC ID | 6103813605 |
|---|---|
| Medicare Enrollment ID | O20040630000100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518996313 | NPI | - | NPPES |
| 0108328 | Other | CA | PIN |
| GR0067270 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A48328 (California) | Primary |
| 208000000X | Pediatrics | A48328 (California) | Secondary |
| Provider Name | Behrooz B Yagoobian |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1780613570 PECOS PAC ID: 3375532104 Enrollment ID: I20040608000827 |
Family Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8540 Alondra Blvd, Suite B-2, Paramount, CA 90723 Phone: 562-602-2508 Fax: 562-602-2382 | |
Mercy Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16444 Paramount Blvd Ste 103, Paramount, CA 90723 Phone: 562-531-7790 | |
Centro Medico Santa Cruz Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8534 Rosecrans Ave., Paramount, CA 90723 Phone: 562-602-8877 Fax: 562-602-8844 | |
Sacred Heart Family Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8540 Alondra Blvd, Suite B2, Paramount, CA 90723 Phone: 562-602-2508 Fax: 562-602-2382 | |
Wilbert C Jordan Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16660 Paramount Blvd Ste 303, Paramount, CA 90723 Phone: 562-630-1415 Fax: 562-630-1473 | |
Wellcare La Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16415 S Colorado Avenue, Suite 208, Paramount, CA 90723 Phone: 562-531-0015 Fax: 562-531-4856 | |
Infotech Institute, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8527 Alondra Blvd, #174, Paramount, CA 90723 Phone: 562-804-1239 Fax: 562-866-7739 |