<unavail> in Los Angeles, CA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Los Angeles, California. The current practice location for is 6636 Selma Ave, Los Angeles, California. For appointments, you can reach them via phone at (323) 653-1990. The mailing address for is 8405 Beverly Blvd, Los Angeles, California and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1932755907. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (323) 653-1990.

Contact Information


	6636 Selma Ave Los Angeles CA 90028-7115
	(323) 653-1990
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	6636 Selma Ave, Los Angeles, California
Authorized Official Name and Position	Muriel Nouwezem (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact	3233371707
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
8405 Beverly Blvd Los Angeles CA 90048-3401 Ph: () -	6636 Selma Ave Los Angeles CA 90028-7115 Ph: (323) 653-1990

NPI Details:

NPI Number	1932755907
Provider Enumeration Date	08/14/2019
Last Update Date	06/09/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	5395886311
Medicare Enrollment ID	O20200901002180

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932755907	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Los Angeles, CA

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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
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- Medicare Primary Care in Los Angeles, CA