| Medical Institute Of Immunology And Infectious Diseases | |
|
1300 N Vermont Ave Suite 806 Los Angeles CA 90027-6005 | |
| (323) 663-6790 | |
| (323) 663-6791 |
| Full Name | Medical Institute Of Immunology And Infectious Diseases |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1300 N Vermont Ave, Los Angeles, California |
| Authorized Official Name and Position | Homayoon Khanlou (CO-DIRECTOR/OWNER) |
| Authorized Official Contact | 3236636790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Institute Of Immunology And Infectious Diseases 1300 N Vermont Ave Suite 806 Los Angeles CA 90027-6005 Ph: (323) 663-6790 | Medical Institute Of Immunology And Infectious Diseases 1300 N Vermont Ave Suite 806 Los Angeles CA 90027-6005 Ph: (323) 663-6790 |
| NPI Number | 1952654592 |
|---|---|
| Provider Enumeration Date | 10/19/2012 |
| Last Update Date | 11/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952654592 | NPI | - | NPPES |
| 1356335277 | Other | CA | INDIVIDUAL PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | A66631 (California) | Primary |
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