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LA TOWN MEDICAL GROUP INC. NPI 1831129063


NPI Information

NPI: 1831129063
Provider Name: LA TOWN MEDICAL GROUP, INC.
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 05D0919969

Address:
3663 W 6TH ST
SUITE 206
LOS ANGELES, CA
ZIP 90020
Phone: (213) 385-5500
Get Directions

LA TOWN MEDICAL GROUP, INC. is a geriatric medicine internal medicine in Los Angeles, CA. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. LA TOWN MEDICAL GROUP, INC. NPI is 1831129063. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3663 W 6TH ST
SUITE 206
LOS ANGELES, CA
ZIP 90020-049
Phone: (213) 385-5500
Fax: (213) 385-1455

The provider's authorized official is Seung H Kim .
The authorized official title is Ceo and has the following contact phone number (213) 385-5500.

The CLIA number assigned to this NPI record is 05D0919969 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 8/22/2020.


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
1207RG0300XInternal MedicineGeriatric MedicineA50035CALIFORNIAYes

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
1GR0066630MEDICAIDCALIFORNIA

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: 4/28/2024

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