Dorothy Mae Medical Clinic Inc. | |
8880 S Broadway Los Angeles CA 90003-3635 | |
(323) 750-1196 | |
(323) 750-0330 |
Full Name | Dorothy Mae Medical Clinic Inc. |
---|---|
Speciality | Clinic/Center |
Location | 8880 S Broadway, Los Angeles, California |
Authorized Official Name and Position | Michael Jerome Singleton (CEO) |
Authorized Official Contact | 3106006046 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dorothy Mae Medical Clinic Inc. Po Box 5167 Oceanside CA 92052-5167 Ph: (323) 750-1196 | Dorothy Mae Medical Clinic Inc. 8880 S Broadway Los Angeles CA 90003-3635 Ph: (323) 750-1196 |
NPI Number | 1669533907 |
---|---|
Provider Enumeration Date | 12/12/2006 |
Last Update Date | 03/31/2016 |
Medicare PECOS PAC ID | 1052404027 |
---|---|
Medicare Enrollment ID | O20160331000026 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669533907 | NPI | - | NPPES |
W14542 | Other | CA | GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | A064610 (California) | Primary |
Provider Name | Michael J Singleton |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1013918119 PECOS PAC ID: 3577658376 Enrollment ID: I20071008000507 |
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 | |
Special Service For Groups, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5811 S San Pedro St, Los Angeles, CA 90011 Phone: 213-553-1800 | |
Altamed Health Services Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Citadel Dr, Ste 490, Los Angeles, CA 90040 Phone: 323-725-8751 Fax: 323-889-7399 | |
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 | |
Apla Health & Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595 | |
Hyo Rang Lee Md Phd Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4465 Wilshire Blvd, Ste 303, Los Angeles, CA 90010 Phone: 213-254-7103 Fax: 714-220-2301 | |
Croft Living Home, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 458 N Croft Ave, Los Angeles, CA 90048 Phone: 323-655-5060 Fax: 323-651-1461 |