| Good Samaritan Medical Practice Group Inc | |
|
1141 W 6th St Los Angeles CA 90017-1828 | |
| (213) 481-0111 | |
| (213) 481-0222 |
| Full Name | Good Samaritan Medical Practice Group Inc |
|---|---|
| Speciality | General Practice |
| Location | 1141 W 6th St, Los Angeles, California |
| Authorized Official Name and Position | Rita Starritt (PRESIDENT/CEO) |
| Authorized Official Contact | 2134810111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Medical Practice Group Inc 1141 W 6th St Los Angeles CA 90017-1828 Ph: (213) 481-0111 | Good Samaritan Medical Practice Group Inc 1141 W 6th St Los Angeles CA 90017-1828 Ph: (213) 481-0111 |
| NPI Number | 1679823496 |
|---|---|
| Provider Enumeration Date | 09/19/2012 |
| Last Update Date | 09/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679823496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | C54648 (California) | Primary |
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