| |
8915 S Broadway Los Angeles CA 90003-3628 | |
(323) 778-7697 | |
(323) 778-2431 |
Full Name | |
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Speciality | Family Medicine |
Location | 8915 S Broadway, Los Angeles, California |
Authorized Official Name and Position | James A Mays (PRESIDENT) |
Authorized Official Contact | 3237787697 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 73538 Los Angeles CA 90003-0538 Ph: (323) 778-7697 | 8915 S Broadway Los Angeles CA 90003-3628 Ph: (323) 778-7697 |
NPI Number | 1720348246 |
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Provider Enumeration Date | 05/17/2012 |
Last Update Date | 05/17/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720348246 | NPI | - | NPPES |
00C311150 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | C31115 (California) | Primary |
207R00000X | Internal Medicine | C31115 (California) | Secondary |
208D00000X | General Practice | C31115 (California) | Secondary |
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 | |
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 | |
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 | |