MEDI MEDI COMMUNITY HEALTH CENTER NPI 1154892875

NPI Information

NPI: 1154892875
Provider Name: MEDI MEDI COMMUNITY HEALTH CENTER
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
11900 AVALON BLVD STE 100
LOS ANGELES, CA
ZIP 90061
Phone: (323) 999-2838
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MEDI MEDI COMMUNITY HEALTH CENTER is a general practice in Los Angeles, CA. MEDI MEDI COMMUNITY HEALTH CENTER NPI is 1154892875. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11900 AVALON BLVD STE 100
LOS ANGELES, CA
ZIP 90061-867
Phone: (323) 999-2838

The provider's authorized official is Andy Piskoulian .
The authorized official title is Founder /ceo and has the following contact phone number (310) 200-7636.

The enumeration date for this NPI number is 12/6/2018 and was last updated on 12/19/2018.

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	Primary
1	103T00000X	Psychologist		No
2	1041C0700X	Social Worker	Clinical	No
3	111N00000X	Chiropractor		No
4	122300000X	Dentist		No
5	152W00000X	Optometrist		No
6	171M00000X	Case Manager/Care Coordinator		No
7	183500000X	Pharmacist		No
8	207Q00000X	Family Medicine		No
9	207R00000X	Internal Medicine		No
10	207V00000X	Obstetrics & Gynecology		No
11	208000000X	Pediatrics		No
12	2084P0800X	Psychiatry & Neurology	Psychiatry	No
13	363A00000X	Physician Assistant		No
14	363L00000X	Nurse Practitioner		No
15	208D00000X	General Practice		Yes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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