Organization
SENIOR CARE CLINIC A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZMY FOUAD GHALY MEDICAL DOCTOR (PRESIDENT)
(323) 307-0800
Entity
Organization
Contact information
Practice address
1700 CESAR CHAVEZ AVE, # 3900, LOS ANGELES, CA 90033-2414
(323) 307-0800
(323) 307-0803
Mailing address
1700 CESAR CHAVEZ AVE, # 3900, LOS ANGELES, CA 90033-2414
(323) 307-0800
(323) 307-0803
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A51085
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
A72860
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
A77545
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0089680
—
CA
Enumeration date
01/22/2007
Last updated
06/05/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us