Senior Care Clinic A Medical Corporation
NPI 1942354857ActiveOrganization· Internal Medicine, Geriatric Medicine· Los Angeles, CA
Internal Medicine, Geriatric Medicine in Los Angeles, California, registered in NPPES in January 2007. The authorized official on file is Azmy Fouad Ghaly, MEDICAL DOCTOR, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1942354857 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 22, 2007 |
| Last updated in NPPES | Jun 5, 2023 |
| Certified by provider | Jun 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | A51085 | CA |
| Internal Medicine, Geriatric Medicine | 207RG0300X | A72860 | CA |
| Internal Medicine, Geriatric Medicine | 207RG0300X | A77545 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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