| |
266 S Harvard Blvd Ste 110 Los Angeles CA 90004-4374 | |
(213) 388-1111 | |
(213) 637-4755 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 266 S Harvard Blvd Ste 110, Los Angeles, California |
Authorized Official Name and Position | Sang Hyun Baik (PRESIDENT) |
Authorized Official Contact | 2133881111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
266 S Harvard Blvd Ste 110 Los Angeles CA 90004-4374 Ph: (213) 388-1111 | 266 S Harvard Blvd Ste 110 Los Angeles CA 90004-4374 Ph: (213) 388-1111 |
NPI Number | 1780886424 |
---|---|
Provider Enumeration Date | 06/04/2007 |
Last Update Date | 03/16/2021 |
Medicare PECOS PAC ID | 8628178225 |
---|---|
Medicare Enrollment ID | O20070711000937 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780886424 | NPI | - | NPPES |
1285732370 | Other | CA | NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G83759 (California) | Primary |
Provider Name | Sang H Baik |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285732370 PECOS PAC ID: 1557461159 Enrollment ID: I20070711000928 |
Provider Name | Soon Choi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821088162 PECOS PAC ID: 6002958873 Enrollment ID: I20161219000263 |
Provider Name | James J Yang |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467816744 PECOS PAC ID: 0648502153 Enrollment ID: I20191104001067 |
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 | |