| Salman Khan, A Medical Corporation | |
|
1701 E Cesar E Chavez Ave Ste 306 Los Angeles CA 90033-2475 | |
| (323) 225-2550 | |
| (323) 225-2597 |
| Full Name | Salman Khan, A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1701 E Cesar E Chavez Ave Ste 306, Los Angeles, California |
| Authorized Official Name and Position | Salman Khan (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3232252550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salman Khan, A Medical Corporation 1701 E Cesar E Chavez Ave Ste 306 Los Angeles CA 90033-2475 Ph: (323) 225-2550 | Salman Khan, A Medical Corporation 1701 E Cesar E Chavez Ave Ste 306 Los Angeles CA 90033-2475 Ph: (323) 225-2550 |
| NPI Number | 1962714634 |
|---|---|
| Provider Enumeration Date | 07/09/2010 |
| Last Update Date | 11/03/2023 |
| Medicare PECOS PAC ID | 6608060983 |
|---|---|
| Medicare Enrollment ID | O20101101000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962714634 | NPI | - | NPPES |
| Provider Name | Salman Ahmed Khan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1952530800 PECOS PAC ID: 3678767951 Enrollment ID: I20101101000442 |
| Provider Name | Cristin Pilavian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295486835 PECOS PAC ID: 0446645592 Enrollment ID: I20220328001315 |
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