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MANUEL ACEVEDO MEDICAL GROUP A MEDICAL CORPORATION NPI 1538348727


NPI Information

NPI: 1538348727
Provider Name: MANUEL ACEVEDO MEDICAL GROUP, A MEDICAL CORPORATION
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1830 W OLYMPIC BLVD
STE. 124
LOS ANGELES, CA
ZIP 90006
Phone: (213) 637-9080
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MANUEL ACEVEDO MEDICAL GROUP, A MEDICAL CORPORATION is a general practice in Los Angeles, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MANUEL ACEVEDO MEDICAL GROUP, A MEDICAL CORPORATION NPI is 1538348727. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1830 W OLYMPIC BLVD
STE. 124
LOS ANGELES, CA
ZIP 90006-734
Phone: (213) 637-9080
Fax: (213) 637-9084

The provider's authorized official is Loreto M Acevedo-carmona .
The authorized official title is Business Manager/administrator and has the following contact phone number (213) 637-9080.

The enumeration date for this NPI number is 10/24/2007 and was last updated on 11/26/2007.


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
1208D00000XGeneral PracticeA74961CALIFORNIAYes

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
1H39175MEDICARE UPINCALIFORNIA

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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