Senior Care Clinic A Medical Corporation
LBN: Senior Care Clinic A Medical Corporation
Senior Care Clinic A Medical Corporation is an health care organization with primary practice located at 1700 Cesar Chavez Ave # 3900, Los Angeles CA 90033-2414. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty.
Senior Care Clinic A Medical Corporation can be contacted via phone (323) 307-0800, or through Ghaly, Azmy Fouad via phone (323) 307-0800.
Contact Information
Primary practice address
1700 Cesar Chavez Ave # 3900
Los Angeles CA 90033-2414
Phone: (323) 307-0800
Fax: (323) 307-0803
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | A51085 | California |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | A72860 | California |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | A77545 | California |
Profile Details
NPI number | 1942354857 |
---|---|
LBN Legal business name | Senior Care Clinic A Medical Corporation |
DBA Doing business as | |
Authorized official | Ghaly, Azmy Fouad MEDICAL DOCTOR |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 22nd, 2007 |
Last updated | Jun 5th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942354857 | NPPES |
California | MEDICAID | GR0089680 |
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