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LINCOLN HEIGHTS FAMILY AND INDUSTRIAL MEDICAL CLINIC NPI 1942309497


NPI Information

NPI: 1942309497
Provider Name: LINCOLN HEIGHTS FAMILY AND INDUSTRIAL MEDICAL CLINIC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2409 N BROADWAY
LOS ANGELES, CA
ZIP 90031
Phone: (323) 225-8038
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LINCOLN HEIGHTS FAMILY AND INDUSTRIAL MEDICAL CLINIC 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. LINCOLN HEIGHTS FAMILY AND INDUSTRIAL MEDICAL CLINIC NPI is 1942309497. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2409 N BROADWAY
LOS ANGELES, CA
ZIP 90031-218
Phone: (323) 225-8038
Fax: (323) 225-2106

The provider's authorized official is Kelly Hong Vo .
The authorized official title is Office Manager and has the following contact phone number (323) 225-8038.

The enumeration date for this NPI number is 9/21/2006 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
1207Q00000XFamily MedicineA53847CALIFORNIAYes
2207VX0000XObstetrics & GynecologyObstetricsA35695CALIFORNIAX
3208000000XPediatricsA53847CALIFORNIAX
4208D00000XGeneral PracticeA33894CALIFORNIAX
5363A00000XPhysician AssistantPA 13853CALIFORNIAX

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
1GR0056500MEDICAIDCALIFORNIA

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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