| The Los Angeles Free Clinic | |
|
8405 Beverly Blvd Los Angeles CA 90048-3401 | |
| (323) 653-8622 | |
| Not Available |
| Full Name | The Los Angeles Free Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 8405 Beverly Blvd, Los Angeles, California |
| Authorized Official Name and Position | Muriel Nouwezem (CEO) |
| Authorized Official Contact | 3233371707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Los Angeles Free Clinic 8405 Beverly Blvd Los Angeles CA 90048-3401 Ph: () - | The Los Angeles Free Clinic 8405 Beverly Blvd Los Angeles CA 90048-3401 Ph: (323) 653-8622 |
| NPI Number | 1194893248 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/30/2024 |
| Medicare PECOS PAC ID | 5395886311 |
|---|---|
| Medicare Enrollment ID | O20100112000638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194893248 | NPI | - | NPPES |
| FHC70701F | Medicaid | CA | |
| CMM70945F | Medicaid | CA | |
| EAP00005F | Medicaid | CA | |
| BCP70654F | Medicaid | CA | |
| BCP70701F | Medicaid | CA | |
| HAP70654F | Medicaid | CA | |
| FHC70654F | Medicaid | CA | |
| HAP70701F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (California) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Tinh C Vuong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750569885 PECOS PAC ID: 5395874549 Enrollment ID: I20100526000346 |
| Provider Name | Aaron Savar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124182662 PECOS PAC ID: 0345306007 Enrollment ID: I20101228000256 |
| Provider Name | Sarah M Domb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801168208 PECOS PAC ID: 3375771595 Enrollment ID: I20140116000150 |
| Provider Name | Oswald Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780676882 PECOS PAC ID: 8729201736 Enrollment ID: I20140520002027 |
| Provider Name | Kimberly Renee Phipps |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790773943 PECOS PAC ID: 3072532282 Enrollment ID: I20140625000395 |
| Provider Name | Farshid Fararooy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922045939 PECOS PAC ID: 4082887187 Enrollment ID: I20140717000145 |
| Provider Name | Jennifer J Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669731295 PECOS PAC ID: 5890916266 Enrollment ID: I20160922001539 |
| Provider Name | Veronica Mae Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356693675 PECOS PAC ID: 8426316340 Enrollment ID: I20171226002013 |
| Provider Name | Jennifer M Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609395649 PECOS PAC ID: 6800154667 Enrollment ID: I20171227002553 |
| Provider Name | Ghassan Hani Nicola Khoury |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003153214 PECOS PAC ID: 3274831649 Enrollment ID: I20180507002064 |
| Provider Name | Aimee Le |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740784305 PECOS PAC ID: 6507281128 Enrollment ID: I20210817003843 |
| Provider Name | Christine S Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346733946 PECOS PAC ID: 5294103081 Enrollment ID: I20221129002029 |
| Provider Name | Rita Marie Rossi Foulkes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427011709 PECOS PAC ID: 8426059825 Enrollment ID: I20230323001073 |
| Provider Name | Ryan Francis Gabriel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568028124 PECOS PAC ID: 9931433463 Enrollment ID: I20230629001795 |
| Provider Name | Gina Nan Mo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609321892 PECOS PAC ID: 5395105464 Enrollment ID: I20230720002744 |
| Provider Name | Stephanie Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346809001 PECOS PAC ID: 7214398486 Enrollment ID: I20230803003094 |
| Provider Name | Manvir Singh Dhillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083293252 PECOS PAC ID: 9335597525 Enrollment ID: I20231129000399 |
| Provider Name | Helena Marie Garcia |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396227898 PECOS PAC ID: 7315380896 Enrollment ID: I20240212003480 |
| Provider Name | Yanet Carina Gonzalez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265997100 PECOS PAC ID: 2062856354 Enrollment ID: I20240214002489 |
| Provider Name | Jessica Elaine Keane |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952950230 PECOS PAC ID: 7315381654 Enrollment ID: I20240214004225 |
| Provider Name | Jennifer Mary Matthes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801313515 PECOS PAC ID: 8325482300 Enrollment ID: I20240217000528 |
| Provider Name | Kendall Marie Keefe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417413568 PECOS PAC ID: 6305280074 Enrollment ID: I20240221001848 |
| Provider Name | Salmaan Zaki Kamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023505534 PECOS PAC ID: 0547679631 Enrollment ID: I20240222003626 |
| Provider Name | Daisy Luna-torres |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508280637 PECOS PAC ID: 7911342688 Enrollment ID: I20240304003357 |
| Provider Name | Brigid Quinn Donahue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689949844 PECOS PAC ID: 2062857659 Enrollment ID: I20240305003809 |
| Provider Name | Hugo Alberto Sanchez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871054148 PECOS PAC ID: 6800233214 Enrollment ID: I20240321000554 |
| Provider Name | Jessica Cristina Portillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639581630 PECOS PAC ID: 2860619020 Enrollment ID: I20240617000991 |
| Provider Name | Carlos J Silva Lynch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477132744 PECOS PAC ID: 6204370877 Enrollment ID: I20240708000889 |
| Provider Name | Liza Rochelle Raffi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396324596 PECOS PAC ID: 6204371826 Enrollment ID: I20240708003347 |
| Provider Name | Alicia Diaz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609201086 PECOS PAC ID: 8527506336 Enrollment ID: I20240812002134 |
| Provider Name | Vivian W Chan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427637628 PECOS PAC ID: 4981145901 Enrollment ID: I20240918001279 |
| Provider Name | Damian Charles Braun Kerr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215629696 PECOS PAC ID: 7416488184 Enrollment ID: I20241004002463 |
| Provider Name | Rachel Barbour Ukwu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023571239 PECOS PAC ID: 0042545501 Enrollment ID: I20241007001545 |
| Provider Name | Anna Skor Noble |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558591800 PECOS PAC ID: 3678886785 Enrollment ID: I20241011002351 |
| Provider Name | Nicole Snyder |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306550751 PECOS PAC ID: 2466984133 Enrollment ID: I20241018002372 |
| Provider Name | Nicole Alexandra Zubia |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215628425 PECOS PAC ID: 0941732424 Enrollment ID: I20241022003701 |
| Provider Name | Neil R Modi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730718008 PECOS PAC ID: 7416481726 Enrollment ID: I20241108003043 |
| Provider Name | Jaime Michelle La Charite |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437680378 PECOS PAC ID: 1456637297 Enrollment ID: I20241113000843 |
| Provider Name | Elizabeth Lorena Suarez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376159038 PECOS PAC ID: 0143754473 Enrollment ID: I20241113002235 |
| Provider Name | Parker George Albert Jobin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275100885 PECOS PAC ID: 9133653884 Enrollment ID: I20241118001184 |
| Provider Name | Allison Katharine Dietze |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1164157285 PECOS PAC ID: 7911433198 Enrollment ID: I20241211002065 |
| Provider Name | Gloria Jiwon Hong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548902281 PECOS PAC ID: 1254868029 Enrollment ID: I20241218003023 |
| Provider Name | Emily Annemarie Fritzmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679060107 PECOS PAC ID: 1557618774 Enrollment ID: I20250214002793 |
| Provider Name | Helena Felix |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932287836 PECOS PAC ID: 5991228140 Enrollment ID: I20250327003216 |
| Provider Name | Janice Oh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417586082 PECOS PAC ID: 2365978467 Enrollment ID: I20250401000536 |
| Provider Name | Marianne Carrie Finerman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689721839 PECOS PAC ID: 7911416227 Enrollment ID: I20250529003280 |
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 | |
Special Service For Groups, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5811 S San Pedro St, Los Angeles, CA 90011 Phone: 213-553-1800 | |
Altamed Health Services Corp 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 | |
Apla Health & Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595 | |
Hyo Rang Lee Md Phd Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4465 Wilshire Blvd, Ste 303, Los Angeles, CA 90010 Phone: 213-254-7103 Fax: 714-220-2301 | |
Croft Living Home, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 458 N Croft Ave, Los Angeles, CA 90048 Phone: 323-655-5060 Fax: 323-651-1461 |