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ELIZABETH J. COVINGTON MD INC NPI 1346350386


NPI Information

NPI: 1346350386
Provider Name: ELIZABETH J. COVINGTON MD, INC

Doing Business As: CENTER4 HEALTH MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0717019

Address:
3701 STOCKER ST STE 101
LOS ANGELES, CA
ZIP 90008
Phone: (323) 290-2107
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ELIZABETH J. COVINGTON MD, 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. ELIZABETH J. COVINGTON MD, INC NPI is 1346350386. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Center4 Health Medical Group.

The provider's business location address is:

3701 STOCKER ST STE 101
LOS ANGELES, CA
ZIP 90008-145
Phone: (323) 290-2107
Fax: (323) 290-0632

The provider's authorized official is Elizabeth Jean Covington .
The authorized official title is Physician and has the following contact phone number (323) 290-2107.

The CLIA number assigned to this NPI record is 05D0717019 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/30/2006 and was last updated on 6/18/2008.


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 MedicineG40179CALIFORNIAYes

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
1W406MEDICARE PINCALIFORNIA

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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