is a Internal Medicine in Los Angeles, California. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for is 1518124536. The last update date is .
's current location address is 5767 W Century Blvd, Los Angeles, California. You can contact this provider via phone number 3104582381 and fax number 3102602963. The mailing address for is 5767 W Century Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 5767 W Century Blvd, Los Angeles, California |
| Phone Number | 3104582381 |
| Fax Number | 3102602963 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1518124536 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 5767 W Century Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900455632 |
| Phone Number | 3104582381 |
| Fax Number | 3102602963 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | A74176 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A741760 | CA | -- |
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