San Judas Medical Group West in Los Angeles - Specialist
San Judas Medical Group West - NPI 1033256573
San Judas Medical Group West is a Specialist in Los Angeles, California. San Judas Medical Group West practices all healthcare services and medical treatments related to Specialist. The NPI Number for San Judas Medical Group West is 1033256573. The last update date is 2016-09-22.
San Judas Medical Group West's current location address is 1080 N Western Ave, Los Angeles, California. You can contact this provider via phone number 3239578787 and fax number 3239578777. The mailing address for San Judas Medical Group West is 1080 N Western Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | San Judas Medical Group West |
|---|---|
| Address | 1080 N Western Ave, Los Angeles, California |
| Phone Number | 3239578787 |
| Fax Number | 3239578777 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Rostami Nejat |
| Credentials | M.D. |
| Telephone Number | 3239578787 |
NPI Number Detail
| NPI Number | 1033256573 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2016-09-22 |
Provider Mailing Address Detail
| Address | 1080 N Western Ave |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900292310 |
| Phone Number | 3239578787 |
| Fax Number | 3239578777 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A48731 |
|
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 |
|---|---|---|---|
| GR0067430 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to San Judas Medical Group West by the Centers for Medicare & Medicaid Services?
The San Judas Medical Group West has been assigned the NPI (National Provider Identifier) 1033256573 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where San Judas Medical Group West's facilities are geographically located?
The facilities of San Judas Medical Group West are physically situated at the following location: 1080 N Western Ave, Los Angeles, CA, 900292310.
What is San Judas Medical Group West's specialized field of practice, and what is the corresponding taxonomy classification code?
The San Judas Medical Group West's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did San Judas Medical Group West receive its 1033256573 assignment from the Centers for Medicare & Medicaid Services?
The San Judas Medical Group West was assigned its 1033256573 on 2007-02-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the San Judas Medical Group West's information last updated?
The San Judas Medical Group West's information was last updated on 2016-09-22.