Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
KHEMARA FAMILY MEDICAL CLINIC INC.
Active
Organization
KHEMARA FAMILY MEDICAL CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAGASAMUDRA S. ASHOK M.D. (SOLE PROPRIETOR)
(562) 439-3803
Entity
Organization
Contact information
Practice address
440 REDONDO AVE STE 201, LONG BEACH, CA 90814-5145
(562) 439-3803
(866) 593-7781
Mailing address
440 REDONDO AVE STE 201, LONG BEACH, CA 90814-5145
(562) 439-3803
(866) 593-7781
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A41589
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10940873
CAQA PROVIDER ENROLLMENT
CA
01
—
A41589
MEDICAL LICENSE
CA
01
—
ZZZ58486Y
BLUE SHIELD PROVIDER #
CA
Enumeration date
11/18/2013
Last updated
12/17/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers