| M Pakour MD Inc | |
|
3671 W 6th St Ste B Los Angeles CA 90020-3026 | |
| (213) 375-7511 | |
| (213) 375-7232 |
| Full Name | M Pakour MD Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3671 W 6th St Ste B, Los Angeles, California |
| Authorized Official Name and Position | Meada Pakour (PRESIDENT) |
| Authorized Official Contact | 8189130738 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M Pakour MD Inc 3671 W 6th St Ste B Los Angeles CA 90020-3026 Ph: (213) 375-7511 | M Pakour MD Inc 3671 W 6th St Ste B Los Angeles CA 90020-3026 Ph: (213) 375-7511 |
| NPI Number | 1275030009 |
|---|---|
| Provider Enumeration Date | 04/09/2018 |
| Last Update Date | 04/09/2018 |
| Medicare PECOS PAC ID | 1153686035 |
|---|---|
| Medicare Enrollment ID | O20180523002696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275030009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | A76745 (California) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | A76745 (California) | Primary |
| Provider Name | Meada Pakour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326004078 PECOS PAC ID: 2062777949 Enrollment ID: I20180523002793 |
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