Libra Medical Group Inc | |
8787 Shoreham Dr Apt 1206 West Hollywood CA 90069-2212 | |
(424) 313-8482 | |
Not Available |
Full Name | Libra Medical Group Inc |
---|---|
Speciality | Internal Medicine |
Location | 8787 Shoreham Dr Apt 1206, West Hollywood, California |
Authorized Official Name and Position | Henry Davidian (PRESIDENT) |
Authorized Official Contact | 4243138482 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Libra Medical Group Inc 8787 Shoreham Dr Apt 1206 West Hollywood CA 90069-2212 Ph: (424) 313-8482 | Libra Medical Group Inc 8787 Shoreham Dr Apt 1206 West Hollywood CA 90069-2212 Ph: (424) 313-8482 |
NPI Number | 1760541163 |
---|---|
Provider Enumeration Date | 12/08/2006 |
Last Update Date | 02/27/2025 |
Medicare PECOS PAC ID | 3072554591 |
---|---|
Medicare Enrollment ID | O20050516000305 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760541163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A50204 (California) | Primary |
Provider Name | Henry Davidian |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255490793 PECOS PAC ID: 8820258486 Enrollment ID: I20120320000359 |
Men's Health Foundation 8280 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8280 Santa Monica Blvd, West Hollywood, CA 90046 Phone: 424-245-3486 | |
Yours N Ours Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8733 Beverly Blvd Ste 201, West Hollywood, CA 90048 Phone: 310-477-8400 | |
Kansal Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8733 Beverly Blvd Ste 306, West Hollywood, CA 90048 Phone: 310-388-6798 Fax: 323-400-4302 | |
Vitalize Naturopathic Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1106 N La Cienega Blvd Ste 207, West Hollywood, CA 90069 Phone: 323-524-5859 | |
Carragher Osteopathic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7235 Santa Monica Blvd, West Hollywood, CA 90046 Phone: 323-874-9355 Fax: 323-874-9357 | |
Dr. Ray Dong Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 872 Huntley Dr, West Hollywood, CA 90069 Phone: 424-402-9609 | |
Stephanie Dsouza Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-1111 |