1818 Western LLC
NPI #1316763097 in Los Angeles, California
Provider Information
- NPI Number
- 1316763097
- Entity Type
- Organization
- Organization Name
- 1818 Western LLC
- Primary Specialty
- Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
- Enumeration Date
- Nov 27, 2024
- Last Updated
- Nov 27, 2024
Practice Location
- Address
- 1818 S WESTERN AVE STE 100
- City
- Los Angeles
- State
- California
- ZIP Code
- 90006-5862
- Phone
- (805) 558-6138
Authorized Official
- Name
- DAVID S KO
- Title
- CEO & PRESIDENT
- Phone
- (818) 438-8211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Program of All-Inclusive Care for the Elderly (PACE) Provider Organization |
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