Provider Demographics
NPI:1770179301
Name:SAFE PMC A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:SAFE PMC A PROFESSIONAL CORPORATION
Other - Org Name:SAFE PMC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADONIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SAREMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-336-1246
Mailing Address - Street 1:10880 WILSHIRE BLVD STE 1101
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-4112
Mailing Address - Country:US
Mailing Address - Phone:310-295-0242
Mailing Address - Fax:
Practice Address - Street 1:10880 WILSHIRE BLVD STE 1101
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-4112
Practice Address - Country:US
Practice Address - Phone:310-295-0242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-17
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty