CALIFORNIA PULMONARY DISEASE MEDICAL GROUP INC NPI 1063560902

NPI Information

NPI: 1063560902
Provider Name: CALIFORNIA PULMONARY DISEASE MEDICAL GROUP INC

Former Legal Business Name: FOUAD BEN ISAAC MD

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
1200 SHADOW HILL WAY
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 821-1187
Get Directions

CALIFORNIA PULMONARY DISEASE MEDICAL GROUP INC is a pulmonary disease internal medicine in Beverly Hills, CA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. CALIFORNIA PULMONARY DISEASE MEDICAL GROUP INC NPI is 1063560902. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Fouad Ben Isaac Md.

The provider's business location address is:

1200 SHADOW HILL WAY
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 821-1187
Fax: (310) 276-7289

The provider's authorized official is Fouad E Ben-isaac .
The authorized official title is Owner Medical Doctor and has the following contact phone number (310) 821-1187.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 9/15/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RP1001X	Internal Medicine	Pulmonary Disease			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	A24346	MEDICARE UPIN
2	00A252520	MEDICAID	CALIFORNIA
3	W3437	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

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

NPI Synchronization or Removal

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