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L A STAR MEDICAL GROUP INC. NPI 1386025773


NPI Information

NPI: 1386025773
Provider Name: L A STAR MEDICAL GROUP, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
10132 CALIFORNIA AVE
SOUTH GATE, CA
ZIP 90280
Phone: (323) 566-4411
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L A STAR MEDICAL GROUP, INC. is a family medicine in South Gate, 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. L A STAR MEDICAL GROUP, INC. NPI is 1386025773. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10132 CALIFORNIA AVE
SOUTH GATE, CA
ZIP 90280-008
Phone: (323) 566-4411
Fax: (323) 566-0390

The provider's authorized official is Emile Shenouda .
The authorized official title is President and has the following contact phone number (323) 566-4411.

The enumeration date for this NPI number is 6/11/2015 and was last updated on 6/11/2015.


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
1208000000XPediatricsA56273CALIFORNIANo
2207Q00000XFamily MedicineA56273CALIFORNIAYes

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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