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DIRECT CARE MEDICAL GROUP INC. NPI 1568822690


NPI Information

NPI: 1568822690
Provider Name: DIRECT CARE MEDICAL GROUP, INC.
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
5901 W OLYMPIC BLVD
STE 300
LOS ANGELES, CA
ZIP 90036
Phone: (323) 756-1317
Get Directions

DIRECT CARE MEDICAL GROUP, INC. is a gastroenterology internal medicine in Los Angeles, CA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DIRECT CARE MEDICAL GROUP, INC. NPI is 1568822690. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5901 W OLYMPIC BLVD
STE 300
LOS ANGELES, CA
ZIP 90036-667
Phone: (323) 756-1317

The provider's authorized official is Jack Azad .
The authorized official title is President and has the following contact phone number (323) 756-1317.

The enumeration date for this NPI number is 3/2/2016 and was last updated on 4/25/2016.


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 MedicineA54433CALIFORNIANo
2207RG0100XInternal MedicineGastroenterologyA54433CALIFORNIAYes

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
1G17920MEDICARE UPINCALIFORNIA

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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