The Elizabeth Center For Cancer Detection | |
1127 Wilshire Blvd Suite 1000 Los Angeles CA 90017-4001 | |
(213) 481-2511 | |
(213) 481-1913 |
Full Name | The Elizabeth Center For Cancer Detection |
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Speciality | Clinic/center - Community Health |
Location | 1127 Wilshire Blvd, Los Angeles, California |
Authorized Official Name and Position | Donald M Cook (CEO) |
Authorized Official Contact | 2139778920 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Elizabeth Center For Cancer Detection 1127 Wilshire Blvd Suite 1000 Los Angeles CA 90017-4001 Ph: (213) 481-2511 | The Elizabeth Center For Cancer Detection 1127 Wilshire Blvd Suite 1000 Los Angeles CA 90017-4001 Ph: (213) 481-2511 |
NPI Number | 1871552653 |
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Provider Enumeration Date | 03/21/2006 |
Last Update Date | 02/17/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871552653 | NPI | - | NPPES |
CMM70685F | Medicaid | CA | |
ZZZ53363Z | Other | CA | BLUE SHIELD OF CALIF |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | 960000031 (California) | Primary |
261QM1300X | Clinic/center - Multi-specialty | 960000031 (California) | Secondary |
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 | |