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LEMI MEDICAL CENTER PROFESSIONAL CORPORATION NPI 1417045238


NPI Information

NPI: 1417045238
Provider Name: LEMI MEDICAL CENTER PROFESSIONAL CORPORATION

Former Legal Business Name: NANI KHANANASHVILI DBA LEMI MEDICAL CENTER

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 05D1006712

Address:
1838 EL CAMINO REAL
SUITE 100
BURLINGAME, CA
ZIP 94010
Phone: (650) 697-0361
Get Directions

LEMI MEDICAL CENTER PROFESSIONAL CORPORATION is an internal medicine in Burlingame, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. LEMI MEDICAL CENTER PROFESSIONAL CORPORATION NPI is 1417045238. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Nani Khananashvili Dba Lemi Medical Center.

The provider's business location address is:

1838 EL CAMINO REAL
SUITE 100
BURLINGAME, CA
ZIP 94010-126
Phone: (650) 697-0361
Fax: (650) 697-8752

The provider's authorized official is Nani Kanen .
The authorized official title is Owner and has the following contact phone number (650) 697-0361.

The CLIA number assigned to this NPI record is 05D1006712 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/10/2006 and was last updated on 7/19/2010.


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 MedicineA77565CALIFORNIAYes

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
1C2865505OTHERCALIFORNIACA STATE CORPORATE ID

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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