SCULPT DTLA NPI 1760910210

NPI Information

NPI: 1760910210
Provider Name: SCULPT DTLA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
705 S OLIVE ST STE A
LOS ANGELES, CA
ZIP 90014
Phone: (951) 202-4100
Get Directions

SCULPT DTLA 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. SCULPT DTLA NPI is 1760910210. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

705 S OLIVE ST STE A
LOS ANGELES, CA
ZIP 90014-642
Phone: (951) 202-4100

The provider's authorized official is Benny Hau .
The authorized official title is Ceo and has the following contact phone number (951) 202-4100.

The enumeration date for this NPI number is 5/30/2017 and was last updated on 5/30/2017.

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	207Q00000X	Family Medicine		G74902	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G74902	OTHER	CALIFORNIA	MEDICAL LICENSE
2	F77911	OTHER	CALIFORNIA	UPIN

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

NPI Synchronization or Removal

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