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LA FE MEDICAL GROUP NPI 1609056639


NPI Information

NPI: 1609056639
Provider Name: LA FE MEDICAL GROUP
Classification: Legal Medicine - 173000000X
Entity Type: Organization

CLIA Number: 05D1033870

Address:
3000 EAST 1ST STREET
LOS ANGELES, CA
ZIP 90063
Phone: (323) 262-6935
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LA FE MEDICAL GROUP is a legal medicine in Los Angeles, CA. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. LA FE MEDICAL GROUP NPI is 1609056639. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3000 EAST 1ST STREET
LOS ANGELES, CA
ZIP 90063-807
Phone: (323) 262-6935
Fax: (323) 262-3109

The provider's authorized official is Angelica Barrientos .
The authorized official title is Administrator and has the following contact phone number (323) 262-6935.

The CLIA number assigned to this NPI record is 05D1033870 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2007 and was last updated on 10/22/2012.


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
1173000000XLegal MedicineA45272CALIFORNIAYes

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
1W13455OTHERCALIFORNIAMEDICARE

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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