<unavail> in Los Angeles, CA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Community Health) in Los Angeles, California. The current practice location for is 1774 Zonal Avenue Building E, Los Angeles, California. For appointments, you can reach them via phone at (323) 352-5650. The mailing address for is 5650 Jillson St, Commerce, California and phone number is (323) 201-4516.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1659003127. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (323) 352-5650.

Contact Information


	1774 Zonal Avenue Building E Los Angeles CA 90033
	(323) 352-5650
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1774 Zonal Avenue Building E, Los Angeles, California
Authorized Official Name and Position	Alvaro Prospero Ballesteros (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact	3232014516
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
5650 Jillson St Commerce CA 90040-1482 Ph: (323) 201-4516	1774 Zonal Avenue Building E Los Angeles CA 90033 Ph: (323) 352-5650

NPI Details:

NPI Number	1659003127
Provider Enumeration Date	06/24/2022
Last Update Date	12/05/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	1850394123
Medicare Enrollment ID	O20230201000616

Medical Identifiers

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

Identifier	Type	State	Issuer
1659003127	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QC1500X	Clinic/center - Community Health	(* (Not Available))	Primary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in Los Angeles, CA

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
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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5811 S San Pedro St, Los Angeles, CA 90011 Phone: 213-553-1800
John L Sherman Md Amc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 Phone: 310-855-8081 Fax: 310-855-0438
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

- Medicare Primary Care in Los Angeles, CA