| Humane Medical Group | |
|
3030 W Olympic Blvd Ste 220 Los Angeles CA 90006-6507 | |
| (213) 446-3046 | |
| (213) 738-7789 |
| Full Name | Humane Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 3030 W Olympic Blvd Ste 220, Los Angeles, California |
| Authorized Official Name and Position | Mi Young Lim (PARTNER) |
| Authorized Official Contact | 2134463046 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Humane Medical Group 3030 W Olympic Blvd Ste 220 Los Angeles CA 90006-6507 Ph: (213) 446-3046 | Humane Medical Group 3030 W Olympic Blvd Ste 220 Los Angeles CA 90006-6507 Ph: (213) 446-3046 |
| NPI Number | 1164251633 |
|---|---|
| Provider Enumeration Date | 07/31/2024 |
| Last Update Date | 07/31/2024 |
| Medicare PECOS PAC ID | 1254862634 |
|---|---|
| Medicare Enrollment ID | O20241009003595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164251633 | NPI | - | NPPES |
| Provider Name | Charles Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225564818 PECOS PAC ID: 8921374232 Enrollment ID: I20171031002424 |
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