LA JOLLA MEDICAL GROUP INC NPI 1811385230

NPI Information

NPI: 1811385230
Provider Name: LA JOLLA MEDICAL GROUP INC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
6221 WILSHIRE BLVD
SUITE 509
LOS ANGELES, CA
ZIP 90048
Phone: (323) 653-6431
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LA JOLLA MEDICAL GROUP INC is an adult medicine family medicine in Los Angeles, CA. The provider is definition to come. LA JOLLA MEDICAL GROUP INC NPI is 1811385230. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6221 WILSHIRE BLVD
SUITE 509
LOS ANGELES, CA
ZIP 90048-201
Phone: (323) 653-6431
Fax: (323) 653-3895

The provider's authorized official is Masha J Livhits .
The authorized official title is President and has the following contact phone number (323) 653-6431.

The enumeration date for this NPI number is 1/7/2015 and was last updated on 12/14/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	A103993	CALIFORNIA	Yes

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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