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LIFE HEALTH CARE GROUP INC. NPI 1033295522


NPI Information

NPI: 1033295522
Provider Name: LIFE HEALTH CARE GROUP, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
14540 VICTORY BLVD
STE 100
VAN NUYS, CA
ZIP 91411
Phone: (818) 989-9700
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LIFE HEALTH CARE GROUP, INC. is a family medicine in Van Nuys, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LIFE HEALTH CARE GROUP, INC. NPI is 1033295522. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14540 VICTORY BLVD
STE 100
VAN NUYS, CA
ZIP 91411-600
Phone: (818) 989-9700
Fax: (818) 989-9705

The provider's authorized official is Fernando Tiongson Enrile .
The authorized official title is President and has the following contact phone number (818) 989-9700.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 8/22/2020.


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
1207Q00000XFamily MedicineA29539CALIFORNIAYes
2208D00000XGeneral PracticeA29539CALIFORNIAX

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
1A29539OTHERCALIFORNIALICENSE

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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