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TERESA MEDICAL CENTER INC. NPI 1609092162


NPI Information

NPI: 1609092162
Provider Name: TERESA MEDICAL CENTER, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2675 W OLYMPIC BLVD
LOS ANGELES, CA
ZIP 90006
Phone: (213) 383-9955
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TERESA MEDICAL CENTER, 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. TERESA MEDICAL CENTER, INC. NPI is 1609092162. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2675 W OLYMPIC BLVD
LOS ANGELES, CA
ZIP 90006-810
Phone: (213) 383-9955

The provider's authorized official is Arjang Naim .
The authorized official title is Owner and has the following contact phone number (213) 383-9955.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 8/15/2008.


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
1207VX0000XObstetrics & GynecologyObstetricsA70290CALIFORNIANo
2208000000XPediatricsG15628CALIFORNIANo
3207Q00000XFamily MedicineG15628CALIFORNIAYes

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
1W15695MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAGRP MEDICARE
2GR0095860MEDICAIDCALIFORNIA

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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