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LIFE CARE MEDICAL CLINIC A PROFESSIONAL CORPORATION NPI 1962797738


NPI Information

NPI: 1962797738
Provider Name: LIFE CARE MEDICAL CLINIC A PROFESSIONAL CORPORATION
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1211 N VERMONT AVE
SUITE 207
LOS ANGELES, CA
ZIP 90029
Phone: (323) 664-4044
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LIFE CARE MEDICAL CLINIC A PROFESSIONAL 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 LIFE CARE MEDICAL CLINIC A PROFESSIONAL CORPORATION NPI is 1962797738. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1211 N VERMONT AVE
SUITE 207
LOS ANGELES, CA
ZIP 90029-748
Phone: (323) 664-4044

The provider's authorized official is John Leonard Goff .
The authorized official title is President and has the following contact phone number (323) 664-4044.

The enumeration date for this NPI number is 6/9/2011 and was last updated on 7/15/2011.


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
1207P00000XEmergency MedicineC30424CALIFORNIANo
2251E00000XHome HealthC30424CALIFORNIANo
3208D00000XGeneral PracticeC30424CALIFORNIAYes

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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