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HAROLD CARDINALVALERY M.D. INC. NPI 1033393962


NPI Information

NPI: 1033393962
Provider Name: HAROLD CARDINALVALERY M.D. INC.

Doing Business As: CARDINAL MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D1052036

Address:
1655 S WESTERN AVE
LOS ANGELES, CA
ZIP 90006
Phone: (323) 737-5200
Get Directions

HAROLD CARDINALVALERY M.D. INC. is a family medicine in Los Angeles, 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. HAROLD CARDINALVALERY M.D. INC. NPI is 1033393962. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cardinal Medical Group.

The provider's business location address is:

1655 S WESTERN AVE
LOS ANGELES, CA
ZIP 90006-801
Phone: (323) 737-5200
Fax: (323) 737-5400

The provider's authorized official is Harold Cardinal Valery .
The authorized official title is Owner and has the following contact phone number (323) 737-5200.

The CLIA number assigned to this NPI record is 05D1052036 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2007 and was last updated on 12/27/2007.


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
1207Q00000XFamily MedicineCALIFORNIAYes

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
100A350201MEDICAIDCALIFORNIA

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: 11/14/2023

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