| North Broadway Medical Clinic Inc | |
|
2926 N Broadway Los Angeles CA 90031-2601 | |
| (323) 221-1131 | |
| (323) 221-3197 |
| Full Name | North Broadway Medical Clinic Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2926 N Broadway, Los Angeles, California |
| Authorized Official Name and Position | Francisco B. Fuscaldo (OWNER) |
| Authorized Official Contact | 3232211131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Broadway Medical Clinic Inc 2926 N Broadway Los Angeles CA 90031-2601 Ph: (323) 221-1131 | North Broadway Medical Clinic Inc 2926 N Broadway Los Angeles CA 90031-2601 Ph: (323) 221-1131 |
| NPI Number | 1356469381 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 08/05/2015 |
| Medicare PECOS PAC ID | 9032216734 |
|---|---|
| Medicare Enrollment ID | O20070514000628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356469381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A25805 (California) | Primary |
| Provider Name | Francisco Bruno Fuscaldo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285624940 PECOS PAC ID: 0547452922 Enrollment ID: I20101004000732 |
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 |