<unavail> in Los Angeles, CA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Los Angeles, California. The current practice location for is 4618 Fountain Ave, Los Angeles, California. For appointments, you can reach them via phone at (323) 953-7170. The mailing address for is 4816 E 3rd St, Los Angeles, California and phone number is (323) 669-4302.

is licensed to practice in California (license number 960000926). The clinic also participates in the medicare program and its NPI number is 1639241888. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (323) 953-7170.

Contact Information


	4618 Fountain Ave Los Angeles CA 90029-1830
	(323) 953-7170
	(323) 663-2379

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	4618 Fountain Ave, Los Angeles, California
Authorized Official Name and Position	Eloisa Perard (PRESIDENT & CEO)
Authorized Official Contact	3236694321
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
4816 E 3rd St Los Angeles CA 90022-1602 Ph: (323) 669-4302	4618 Fountain Ave Los Angeles CA 90029-1830 Ph: (323) 953-7170

NPI Details:

NPI Number	1639241888
Provider Enumeration Date	11/14/2006
Last Update Date	06/27/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	3072619618
Medicare Enrollment ID	O20100811000484

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639241888	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	960000926 (California)	Primary

Reviews and Comments

Clinic/Center in Los Angeles, CA

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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
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595

- Medicare Primary Care in Los Angeles, CA