La Vascular Access Ctr Medical Grp in Inglewood - Specialist
La Vascular Access Ctr Medical Grp - NPI 1104960558
La Vascular Access Ctr Medical Grp is a Specialist in Inglewood, California. La Vascular Access Ctr Medical Grp practices all healthcare services and medical treatments related to Specialist. The NPI Number for La Vascular Access Ctr Medical Grp is 1104960558. The last update date is 2021-10-14.
La Vascular Access Ctr Medical Grp's current location address is 323 N Prairie Ave, Inglewood, California. You can contact this provider via phone number 3106749300 and fax number 3106749301. The mailing address for La Vascular Access Ctr Medical Grp is 323 N Prairie Ave, Inglewood, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | La Vascular Access Ctr Medical Grp |
|---|---|
| Address | 323 N Prairie Ave, Inglewood, California |
| Phone Number | 3106749300 |
| Fax Number | 3106749301 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AUTHORIZED |
|---|---|
| Authorized Official Name | Rubin E Jack |
| Credentials | MD |
| Telephone Number | 3106749300 |
NPI Number Detail
| NPI Number | 1104960558 |
|---|---|
| Provider Enumeration Date | 2007-02-19 |
| Last Updated Date | 2021-10-14 |
Provider Mailing Address Detail
| Address | 323 N Prairie Ave |
|---|---|
| City | Inglewood |
| State | California (CA) |
| Post Code | 903014502 |
| Phone Number | 3106749300 |
| Fax Number | 3106749301 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0105550 | CA | MEDI-CAL - GROUP | |
| W21161 | CA | MEDICARE - GROUP |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to La Vascular Access Ctr Medical Grp by the Centers for Medicare & Medicaid Services?
The La Vascular Access Ctr Medical Grp has been issued the NPI (National Provider Identifier) 1104960558 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where La Vascular Access Ctr Medical Grp is geographically located?
The La Vascular Access Ctr Medical Grp is physically situated at the following location: 323 N Prairie Ave, Inglewood, CA, 903014502.
What is La Vascular Access Ctr Medical Grp's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for La Vascular Access Ctr Medical Grp is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
When did the La Vascular Access Ctr Medical Grp receive its 1104960558?
The La Vascular Access Ctr Medical Grp was issued its 1104960558 on 2007-02-19, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to La Vascular Access Ctr Medical Grp most recently updated or revised?
The details related to La Vascular Access Ctr Medical Grp, including its address, specialty, and other relevant information, were last updated or revised on 2021-10-14.