| Kirk Uomoto Md A Medical Corporation | |
|
5549 W Pico Blvd Los Angeles CA 90019-3919 | |
| (323) 936-7279 | |
| (323) 936-0461 |
| Full Name | Kirk Uomoto Md A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 5549 W Pico Blvd, Los Angeles, California |
| Authorized Official Name and Position | Kirk Uomoto (PRESIDENT) |
| Authorized Official Contact | 3239367279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirk Uomoto Md A Medical Corporation 5549 W Pico Blvd Los Angeles CA 90019-3919 Ph: (323) 936-7279 | Kirk Uomoto Md A Medical Corporation 5549 W Pico Blvd Los Angeles CA 90019-3919 Ph: (323) 936-7279 |
| NPI Number | 1558318600 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 02/06/2015 |
| Medicare PECOS PAC ID | 9537143011 |
|---|---|
| Medicare Enrollment ID | O20040614000802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558318600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A71567 (California) | Primary |
| Provider Name | Kirk M Uomoto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578510426 PECOS PAC ID: 0244214724 Enrollment ID: I20040615000737 |
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