<unavail> in Los Angeles, CA - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine - Sports Medicine) in Los Angeles, California. The current practice location for is 11710 Wilshire Blvd, Los Angeles, California. For appointments, you can reach them via phone at (310) 477-7276. The mailing address for is 11710 Wilshire Blvd, Los Angeles, California and phone number is (310) 477-7276.

is licensed to practice in California (license number G63193). The clinic also participates in the medicare program and its NPI number is 1851623029. 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 (310) 477-7276.

Contact Information


	11710 Wilshire Blvd Los Angeles CA 90025-1503
	(310) 477-7276
	(310) 477-5148

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	11710 Wilshire Blvd, Los Angeles, California
Authorized Official Name and Position	Walter Ray O'brien (OWNER)
Authorized Official Contact	3104777276
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
11710 Wilshire Blvd Los Angeles CA 90025-1503 Ph: (310) 477-7276	11710 Wilshire Blvd Los Angeles CA 90025-1503 Ph: (310) 477-7276

NPI Details:

NPI Number	1851623029
Provider Enumeration Date	02/12/2010
Last Update Date	03/07/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	7113042508
Medicare Enrollment ID	O20101005000334

Medical Identifiers

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

Identifier	Type	State	Issuer
1851623029	NPI	-	NPPES
00G631931	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QS0010X	Family Medicine - Sports Medicine	G63193 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Walter R O'brien
Provider Type	Practitioner - Orthopedic Surgery
Provider Identifiers	NPI Number: 1346290814 PECOS PAC ID: 0648312629 Enrollment ID: I20100129000105

Provider Name	Dominic P Toscano
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1801210042 PECOS PAC ID: 8224250634 Enrollment ID: I20141119000007

Reviews and Comments

Family Medicine in Los Angeles, CA

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
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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5811 S San Pedro St, Los Angeles, CA 90011 Phone: 213-553-1800
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
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
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595

- Medicare Primary Care in Los Angeles, CA