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05D2034871 CLIA NUMBER - L.E.V. MEDICAL GROUP PRESTIGE MEDICAL CENTER

Laboratory Demographics

CLIA Number: 05D2034871

Facility Name: L.E.V. MEDICAL GROUP PRESTIGE MEDICAL CENTER

Facility Address:
7855 SANTA MONICA BLVD
WEST HOLLYWOOD, CA
ZIP 90046
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Facility Phone Number: 310 623-9222

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1801045778

Taxonomy: 207R00000X - Internal Medicine
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.

CLIA Record

Field Name Field Value
CLIA Number 05D2034871
LAB Type Physician Office
Facility Name L.E.V. MEDICAL GROUP PRESTIGE MEDICAL CENTER
Street 7855 SANTA MONICA BLVD
City WEST HOLLYWOOD
State CA
ZIP 90046
Phone 310 623-9222
CertificateType 4
CertificateEffectiveDate 1/5/2024
CertificateExpirationDate 1/4/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024