M4LLC NPI 1487194023

NPI Information

NPI: 1487194023
Provider Name: M4LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
209 N PACIFIC AVE
SAN PEDRO, CA
ZIP 90731
Phone: (310) 833-2121
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M4LLC is a health service clinic center in San Pedro, CA. M4LLC NPI is 1487194023. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

209 N PACIFIC AVE
SAN PEDRO, CA
ZIP 90731-015
Phone: (310) 833-2121
Fax: (310) 833-0404

The provider's authorized official is Mostafa S Rahimi .
The authorized official title is Partner and has the following contact phone number (760) 686-3121.

The enumeration date for this NPI number is 3/1/2017 and was last updated on 3/1/2017.

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	2083P0011X	Preventive Medicine	Undersea and Hyperbaric Medicine	A89780	CALIFORNIA	No
2	261QH0100X	Clinic/Center	Health Service	A89780	CALIFORNIA	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: 5/5/2024

NPI Synchronization or Removal

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