| Genora Health Inc | |
|
4880 Huntington Dr S Los Angeles CA 90032-1945 | |
| (713) 409-7310 | |
| Not Available |
| Full Name | Genora Health Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4880 Huntington Dr S, Los Angeles, California |
| Authorized Official Name and Position | Su Chen (OWNER) |
| Authorized Official Contact | 7134097310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genora Health Inc 4880 Huntington Dr S Los Angeles CA 90032-1945 Ph: (713) 409-7310 | Genora Health Inc 4880 Huntington Dr S Los Angeles CA 90032-1945 Ph: (713) 409-7310 |
| NPI Number | 1932857448 |
|---|---|
| Provider Enumeration Date | 03/14/2022 |
| Last Update Date | 11/22/2022 |
| Medicare PECOS PAC ID | 1254725377 |
|---|---|
| Medicare Enrollment ID | O20220304001998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932857448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Su Chen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1720162167 PECOS PAC ID: 2567564701 Enrollment ID: I20220304001973 |
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