| Michel J. Mazouz, M.d., A Medical Corporation | |
|
1125 S Beverly Dr Suite 730 Los Angeles CA 90035-1148 | |
| (310) 201-0626 | |
| (310) 277-2852 |
| Full Name | Michel J. Mazouz, M.d., A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1125 S Beverly Dr, Los Angeles, California |
| Authorized Official Name and Position | Michel J. Mazouz (PRESIDENT) |
| Authorized Official Contact | 3102010626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michel J. Mazouz, M.d., A Medical Corporation Po Box 67218 Los Angeles CA 90067-0218 Ph: (310) 201-0626 | Michel J. Mazouz, M.d., A Medical Corporation 1125 S Beverly Dr Suite 730 Los Angeles CA 90035-1148 Ph: (310) 201-0626 |
| NPI Number | 1346395605 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 07/14/2015 |
| Medicare PECOS PAC ID | 8527164276 |
|---|---|
| Medicare Enrollment ID | O20070426000403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346395605 | NPI | - | NPPES |
| 00A440450 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A44045 (California) | Primary |
| Provider Name | Michel J Mazouz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679628036 PECOS PAC ID: 8628174380 Enrollment ID: I20070426000500 |
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 | |
Special Service For Groups, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5811 S San Pedro St, Los Angeles, CA 90011 Phone: 213-553-1800 | |
Altamed Health Services Corp 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 | |
Apla Health & Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595 | |
Hyo Rang Lee Md Phd Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4465 Wilshire Blvd, Ste 303, Los Angeles, CA 90010 Phone: 213-254-7103 Fax: 714-220-2301 | |
Croft Living Home, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 458 N Croft Ave, Los Angeles, CA 90048 Phone: 323-655-5060 Fax: 323-651-1461 |