L And P Medical Group Inc | |
1107 S Alvarado St Ste 102 Los Angeles CA 90006-4161 | |
(213) 380-9999 | |
(213) 380-7904 |
Full Name | L And P Medical Group Inc |
---|---|
Speciality | Surgery |
Location | 1107 S Alvarado St Ste 102, Los Angeles, California |
Authorized Official Name and Position | Loghman Abdian (MD) |
Authorized Official Contact | 2133809999 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
L And P Medical Group Inc 1107 S Alvarado St Ste 102 Los Angeles CA 90006-4161 Ph: (213) 380-9999 | L And P Medical Group Inc 1107 S Alvarado St Ste 102 Los Angeles CA 90006-4161 Ph: (213) 380-9999 |
NPI Number | 1710077961 |
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Provider Enumeration Date | 10/16/2006 |
Last Update Date | 05/29/2020 |
Medicare PECOS PAC ID | 7113096348 |
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Medicare Enrollment ID | O20080514000467 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710077961 | NPI | - | NPPES |
GR0066660 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
208600000X | Surgery | (* (Not Available)) | Primary |
Provider Name | Loghman Abdian |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356554802 PECOS PAC ID: 6103995337 Enrollment ID: I20080514000580 |
Provider Name | Pedram S Abdian |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891021531 PECOS PAC ID: 8325224108 Enrollment ID: I20110511000614 |
Provider Name | Jasmine Aghajani |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1871966622 PECOS PAC ID: 3375965601 Enrollment ID: I20200615002858 |
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