| Provider Service Network, Inc | |
|
212 Bailey St Apt 204 Los Angeles CA 90033-2460 | |
| (323) 264-5000 | |
| (323) 264-5003 |
| Full Name | Provider Service Network, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 212 Bailey St Apt 204, Los Angeles, California |
| Authorized Official Name and Position | Hector Raphael Castillo (CEO) |
| Authorized Official Contact | 3232645000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Provider Service Network, Inc 212 Bailey St Apt 204 Los Angeles CA 90033-2460 Ph: (323) 264-5000 | Provider Service Network, Inc 212 Bailey St Apt 204 Los Angeles CA 90033-2460 Ph: (323) 264-5000 |
| NPI Number | 1336700012 |
|---|---|
| Provider Enumeration Date | 06/24/2019 |
| Last Update Date | 06/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336700012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | 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 |
Clinica Virgen De Guadalupe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 985 W Vernon Ave, Los Angeles, CA 90037 Phone: 323-234-6300 |
Ssg San Pedro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5811 S San Pedro St, Los Angeles, CA 90011 Phone: 213-553-1800 |
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 Medical Group Eapc Prop 99 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 |