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
Fax: (323) 307-0803
Website:
Authorized official contact:
Name: Ghaly, Azmy Fouad MEDICAL DOCTOR

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942354857 NPPES
California MEDICAID GR0089680

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