| S & S Medical Group, Inc. | |
|
648 E 21st St Los Angeles CA 90011-1146 | |
| (213) 749-7110 | |
| (213) 749-2749 |
| Full Name | S & S Medical Group, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 648 E 21st St, Los Angeles, California |
| Authorized Official Name and Position | Steven Ghalili (PHYSICIAN) |
| Authorized Official Contact | 2137497110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S & S Medical Group, Inc. 648 E 21st St Los Angeles CA 90011-1146 Ph: (213) 749-7110 | S & S Medical Group, Inc. 648 E 21st St Los Angeles CA 90011-1146 Ph: (213) 749-7110 |
| NPI Number | 1548458987 |
|---|---|
| Provider Enumeration Date | 10/10/2007 |
| Last Update Date | 01/23/2024 |
| Medicare PECOS PAC ID | 6507843307 |
|---|---|
| Medicare Enrollment ID | O20040630000436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548458987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A66615 (California) | Primary |
| Provider Name | Steven S Ghalili |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669546453 PECOS PAC ID: 0749267557 Enrollment ID: I20040702001298 |
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