<unavail> in Los Angeles, CA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Los Angeles, California. The current practice location for is 8880 S Broadway, Los Angeles, California. For appointments, you can reach them via phone at (323) 750-1196. The mailing address for is Po Box 5167, Oceanside, California and phone number is (323) 750-1196.

is licensed to practice in California (license number A064610). The clinic also participates in the medicare program and its NPI number is 1669533907. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (323) 750-1196.

Contact Information


	8880 S Broadway Los Angeles CA 90003-3635
	(323) 750-1196
	(323) 750-0330

Map and Direction

Primary Care Clinic Profile

Full Name
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 and Practice Location

Mailing Address	Practice Location Address
Po Box 5167 Oceanside CA 92052-5167 Ph: (323) 750-1196	8880 S Broadway Los Angeles CA 90003-3635 Ph: (323) 750-1196

NPI Details:

NPI Number	1669533907
Provider Enumeration Date	12/12/2006
Last Update Date	03/31/2016

Medicare PECOS Information:

Medicare PECOS PAC ID	1052404027
Medicare Enrollment ID	O20160331000026

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669533907	NPI	-	NPPES
W14542	Other	CA	GROUP PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	A064610 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Michael J Singleton
Provider Type	Practitioner - General Practice
Provider Identifiers	NPI Number: 1013918119 PECOS PAC ID: 3577658376 Enrollment ID: I20071008000507

Reviews and Comments

Clinic/Center in Los Angeles, CA

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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
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595

- Medicare Primary Care in Los Angeles, CA