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LADDARAN MEDICAL GROUP NPI 1417050782


NPI Information

NPI: 1417050782
Provider Name: LADDARAN MEDICAL GROUP
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2105 BEVERLY BLVD
STE 117
LOS ANGELES, CA
ZIP 90057
Phone: (213) 413-8742
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LADDARAN MEDICAL GROUP is a pediatrics in Los Angeles, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. LADDARAN MEDICAL GROUP NPI is 1417050782. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2105 BEVERLY BLVD
STE 117
LOS ANGELES, CA
ZIP 90057
Phone: (213) 413-8742
Fax: (213) 413-6482

The provider's authorized official is Anita Chua Laddaran .
The authorized official title is President and has the following contact phone number (213) 413-8742.

The enumeration date for this NPI number is 9/5/2006 and was last updated on 9/29/2008.


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
12085R0202XRadiologyDiagnostic RadiologyA365910CALIFORNIANo
2208000000XPediatricsA365070CALIFORNIAYes

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
1W13343MEDICARE PINCALIFORNIA
2GR0064390MEDICAIDCALIFORNIA

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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