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Eastside Diabetes Care Medical Clinic, Inc.
Health Service Clinic/Center in Los Angeles, California
NPI 1841500253

Eastside Diabetes Care Medical Clinic, Inc. is a Health Service Clinic/Center based in Los Angeles, CA and is specialized in Health Service. Eastside Diabetes Care Medical Clinic, Inc. practices in Los Angeles, CA. The NPI Number for Eastside Diabetes Care Medical Clinic, Inc. is 1841500253 and holds a License No. A33652 (California).

The current practice location address for Eastside Diabetes Care Medical Clinic, Inc. is 5836 E Beverly Blvd, Los Angeles, CA and can be reached out via phone at 323-726-0370 and via fax at 323-726-0239.

Location: 5836 E Beverly Blvd, Los Angeles, CA, 90022-2824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841500253
Provider Name
Eastside Diabetes Care Medical Clinic, Inc.
Credential
Provider Entity Type
Organization
Address
5836 E Beverly Blvd, Los Angeles, CA, 90022-2824
Phone Number
323-726-0370
Fax Number
323-726-0239
Provider Enumeration Date
10/19/2010
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A336520 05 CA
1972600880 01 NPI
institution
Provider Business Practice Location Address Details
Address
5836 E Beverly Blvd
City
Los Angeles
State
California
Zip
90022-2824
Phone Number
323-726-0370
Fax Number
323-726-0239
person
Provider Business Mailing Address Details
Address
5836 E Beverly Blvd
City
Los Angeles
State
California
Zip
90022-2824
Phone Number
323-726-0370
Fax Number
323-726-0239
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A33652 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
A33652 (California)
Definition
Definition to come...
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