Provider Type Icon

CALIFORNIA HEALTH MED GR NPI 1700069705


NPI Information

NPI: 1700069705
Provider Name: CALIFORNIA HEALTH MED GR
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
635 S WESTLAKE AVE
SUITE 100
LOS ANGELES, CA
ZIP 90057
Phone: (213) 386-0010
Get Directions

CALIFORNIA HEALTH MED GR 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. CALIFORNIA HEALTH MED GR NPI is 1700069705. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

635 S WESTLAKE AVE
SUITE 100
LOS ANGELES, CA
ZIP 90057-525
Phone: (213) 386-0010
Fax: (213) 386-4190

The provider's authorized official is Josefina Viste .
The authorized official title is Physician and has the following contact phone number (213) 386-0010.

The enumeration date for this NPI number is 12/12/2007 and was last updated on 4/6/2015.


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
1207Q00000XFamily MedicineYes

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
100A388150MEDICAIDCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.