Pico Clinica Medica Latina, A Medical Group, Inc | |
1600 W Pico Blvd Los Angeles CA 90015-2410 | |
(213) 386-5252 | |
(213) 386-5323 |
Full Name | Pico Clinica Medica Latina, A Medical Group, Inc |
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Speciality | General Practice |
Location | 1600 W Pico Blvd, Los Angeles, California |
Authorized Official Name and Position | Teresita Alonzo Zareno (VICE PRESIDENT) |
Authorized Official Contact | 2133865252 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pico Clinica Medica Latina, A Medical Group, Inc 1600 W Pico Blvd Los Angeles CA 90015-2410 Ph: (213) 386-5252 | Pico Clinica Medica Latina, A Medical Group, Inc 1600 W Pico Blvd Los Angeles CA 90015-2410 Ph: (213) 386-5252 |
NPI Number | 1740329101 |
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Provider Enumeration Date | 02/05/2007 |
Last Update Date | 12/09/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740329101 | NPI | - | NPPES |
GR0082120 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | A40110 (California) | Primary |
208D00000X | General Practice | A39524 (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 | |