Regent Specialists Medical Clinic

LBN: Ivor H. Harewood, M.D, Facs Amc
Regent Specialists Medical Clinic is an health care organization with primary practice located at 3701 Stocker St Suite 100, Los Angeles CA 90008-5108. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Ivor H. Harewood, M.D, Facs Amc can be contacted via phone (323) 296-6942, or through Harewood, Ivor H. via phone (323) 296-6942.

Contact Information

Primary practice address
3701 Stocker St Suite 100 Los Angeles CA 90008-5108
Fax: (323) 299-1651
Website:
Authorized official contact:
Name: Harewood, Ivor H. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X G23311 California

Profile Details

NPI number 1073729497
LBN Legal business name Ivor H. Harewood, M.D, Facs Amc
DBA Doing business as Regent Specialists Medical Clinic
Authorized official Harewood, Ivor H. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073729497 NPPES
California MEDICAID 00G233110

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