| Direct Care Medical Group, Inc. | |
|
5901 W Olympic Blvd Ste 300 Los Angeles CA 90036-4667 | |
| (323) 756-1317 | |
| Not Available |
| Full Name | Direct Care Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 5901 W Olympic Blvd, Los Angeles, California |
| Authorized Official Name and Position | Jack Azad (PRESIDENT) |
| Authorized Official Contact | 3237561317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Direct Care Medical Group, Inc. 11900 Avalon Blvd Ste 100 Los Angeles CA 90061-2866 Ph: (323) 756-1317 | Direct Care Medical Group, Inc. 5901 W Olympic Blvd Ste 300 Los Angeles CA 90036-4667 Ph: (323) 756-1317 |
| NPI Number | 1568822690 |
|---|---|
| Provider Enumeration Date | 03/02/2016 |
| Last Update Date | 04/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568822690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A54433 (California) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | A54433 (California) | Primary |
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