<unavail> in Los Angeles, CA

is a primary clinic (Clinic/center - Primary Care) in Los Angeles, California. The current practice location for is 2655 W Olympic Blvd Ste 101, Los Angeles, California. For appointments, you can reach them via phone at (213) 380-8833. The mailing address for is 2655 W Olympic Blvd Ste 101, Los Angeles, California and phone number is (213) 380-8833.

is licensed to practice in California (license number 960000265) and its NPI number is 1952460156. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (213) 380-8833.

Contact Information


	2655 W Olympic Blvd Ste 101 Los Angeles CA 90006-2800
	(213) 380-8833
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Primary Care
Location	2655 W Olympic Blvd Ste 101, Los Angeles, California
Authorized Official Name and Position	Moon Ju Kim (CEO)
Authorized Official Contact	2136754909
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
2655 W Olympic Blvd Ste 101 Los Angeles CA 90006-2800 Ph: (213) 380-8833	2655 W Olympic Blvd Ste 101 Los Angeles CA 90006-2800 Ph: (213) 380-8833

NPI Details:

NPI Number	1952460156
Provider Enumeration Date	12/06/2006
Last Update Date	02/14/2023

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952460156	NPI	-	NPPES
HAP70381F	Medicaid	CA
EAP70381F	Medicaid	CA
CMM70381F	Medicaid	CA
1306871413	Medicaid	CA
1760408470	Medicaid	CA
W11952	Other	CA	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	960000265 (California)	Secondary
261QP2300X	Clinic/center - Primary Care	960000265 (California)	Primary

Reviews and Comments

Clinic/Center in Los Angeles, CA

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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
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595

- Primary Care in Los Angeles, CA