| Kedren Community Health Center, Inc. | |
|
4211 South Avalon Blvd Los Angeles CA 90011 | |
| (323) 432-5093 | |
| (323) 233-5015 |
| Full Name | Kedren Community Health Center, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 4211 South Avalon Blvd, Los Angeles, California |
| Authorized Official Name and Position | Earle Charles Charles (CHIEF INFORMATION OFFICER) |
| Authorized Official Contact | 3234325093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kedren Community Health Center, Inc. 4211 South Avalon Blvd. Los Angeles CA 90011-5622 Ph: (323) 432-5093 | Kedren Community Health Center, Inc. 4211 South Avalon Blvd Los Angeles CA 90011 Ph: (323) 432-5093 |
| NPI Number | 1255548483 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 04/16/2019 |
| Medicare PECOS PAC ID | 5597805424 |
|---|---|
| Medicare Enrollment ID | O20091228000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255548483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | 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 | |
Special Service For Groups, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5811 S San Pedro St, Los Angeles, CA 90011 Phone: 213-553-1800 | |
Altamed Health Services Corp 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 | |
Apla Health & Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595 | |
Hyo Rang Lee Md Phd Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4465 Wilshire Blvd, Ste 303, Los Angeles, CA 90010 Phone: 213-254-7103 Fax: 714-220-2301 | |
Croft Living Home, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 458 N Croft Ave, Los Angeles, CA 90048 Phone: 323-655-5060 Fax: 323-651-1461 |