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RONALD A CARLISH MEDICAL GROUP NPI 1790094639


NPI Information

NPI: 1790094639
Provider Name: RONALD A CARLISH MEDICAL GROUP
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
1127 WILSHIRE BLVD
STE 820
LOS ANGELES, CA
ZIP 90017
Phone: (213) 977-9421
Get Directions

RONALD A CARLISH MEDICAL GROUP is a pain medicine physical medicine rehabilitation in Los Angeles, CA. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. RONALD A CARLISH MEDICAL GROUP NPI is 1790094639. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1127 WILSHIRE BLVD
STE 820
LOS ANGELES, CA
ZIP 90017-910
Phone: (213) 977-9421
Fax: (213) 977-9422

The provider's authorized official is Ronald A Carlish .
The authorized official title is Medical Director and has the following contact phone number (213) 977-9421.

The enumeration date for this NPI number is 9/27/2010 and was last updated on 1/27/2011.


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
1207RC0000XInternal MedicineCardiovascular DiseaseG15424CALIFORNIANo
22084P2900XPsychiatry & NeurologyPain MedicineA64244CALIFORNIANo
32081P2900XPhysical Medicine & RehabilitationPain MedicineG15424CALIFORNIAYes

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
1G15424OTHERCALIFORNIASTATE LICENSE
2EH401AMEDICARE PINCALIFORNIA

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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