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5015 W Pico Blvd Los Angeles CA 90019-4127 | |
(323) 653-1677 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 5015 W Pico Blvd, Los Angeles, California |
Authorized Official Name and Position | Stan Sharma (DIRECTOR) |
Authorized Official Contact | 6612546630 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 801809 Valencia CA 91380-1809 Ph: (323) 653-1677 | 5015 W Pico Blvd Los Angeles CA 90019-4127 Ph: (323) 653-1677 |
NPI Number | 1801965330 |
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Provider Enumeration Date | 11/07/2006 |
Last Update Date | 07/18/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801965330 | NPI | - | NPPES |
103244 | Other | CA | LADMH |
CMM70807F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 960001104 (California) | Primary |
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 | |
John L Sherman Md Amc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 Phone: 310-855-8081 Fax: 310-855-0438 | |
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 | |