| |
1300 N Vermont Ave Suite 806 Los Angeles CA 90027-6005 | |
(323) 663-6790 | |
(323) 663-6791 |
Full Name | |
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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 |
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1300 N Vermont Ave Suite 806 Los Angeles CA 90027-6005 Ph: (323) 663-6790 | 1300 N Vermont Ave Suite 806 Los Angeles CA 90027-6005 Ph: (323) 663-6790 |
NPI Number | 1952654592 |
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Provider Enumeration Date | 10/19/2012 |
Last Update Date | 11/13/2012 |
Identifier | Type | State | Issuer |
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1952654592 | NPI | - | NPPES |
1356335277 | Other | CA | INDIVIDUAL PROVIDER NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | A66631 (California) | Primary |
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 | |