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ADVANCED LUNG CENTER MEDICAL GROUP INC. NPI 1164593323


NPI Information

NPI: 1164593323
Provider Name: ADVANCED LUNG CENTER MEDICAL GROUP INC.
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

CLIA Number: 05D1055435

Address:
401 S LA BREA AVE STE 205
INGLEWOOD, CA
ZIP 90301
Phone: (310) 275-7575
Get Directions

ADVANCED LUNG CENTER MEDICAL GROUP INC. is a pulmonary disease internal medicine in Inglewood, CA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. ADVANCED LUNG CENTER MEDICAL GROUP INC. NPI is 1164593323. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

401 S LA BREA AVE STE 205
INGLEWOOD, CA
ZIP 90301-321
Phone: (310) 275-7575

The provider's authorized official is Jamshid Niknam .
The authorized official title is President and has the following contact phone number (310) 275-7575.

The CLIA number assigned to this NPI record is 05D1055435 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/10/2006 and was last updated on 4/22/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineA52081CALIFORNIANo
2207RP1001XInternal MedicinePulmonary DiseaseA52081CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A520810MEDICAIDCALIFORNIA
2E98005MEDICARE UPINCALIFORNIA
3WA52081EMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
4W13802MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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