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12301 Wilshire Blvd Ste 206 Los Angeles CA 90025-1000 | |
(310) 294-9030 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 12301 Wilshire Blvd Ste 206, Los Angeles, California |
Authorized Official Name and Position | Yeshaia Blakeney (CEO) |
Authorized Official Contact | 3102949030 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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12301 Wilshire Blvd Ste 206 Los Angeles CA 90025-1000 Ph: (310) 294-9030 | 12301 Wilshire Blvd Ste 206 Los Angeles CA 90025-1000 Ph: (310) 294-9030 |
NPI Number | 1619333002 |
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Provider Enumeration Date | 01/14/2016 |
Last Update Date | 05/07/2021 |
Identifier | Type | State | Issuer |
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1619333002 | NPI | - | NPPES |
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 | |