NPI 1316763097

1818 Western LLC

Organisation PACE Provider Organization Los Angeles, CA

Practice location

Address: 1818 S Western Ave STE 100, Los Angeles, CA 90006-5862
Phone: (805) 558-6138
Mailing address: 1818 S Western Ave STE 200, Los Angeles, CA 90006-5862

Authorised official

Name: David S Ko
Title: Ceo & President
Phone: (818) 438-8211

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

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Registry record

NPI: 1316763097
Entity type: Organization
NPI issued: 27 Nov 2024
Record last updated: 27 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.