La Brea Medical Clinic Pain Management, Inc

LBN: La Brea Medical Clinic Pain Management, Inc
La Brea Medical Clinic Pain Management, Inc is an health care organization with primary practice located at 3831 Hughes Ave 705, Culver City CA 90232-2751. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. La Brea Medical Clinic Pain Management, Inc can be contacted via phone (310) 558-8600, or through Paul, Leslie D. via phone (310) 558-8600.

Contact Information

Primary practice address
3831 Hughes Ave 705 Culver City CA 90232-2751
Phone: (310) 558-8600
Fax: (310) 558-8650
Website:
Map and Directions
Authorized official contact:
Name: Paul, Leslie D. Doctor of Medicine (MD)
Phone: (310) 558-8600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G61506 California

Profile Details

NPI number 1871817460
LBN Legal business name La Brea Medical Clinic Pain Management, Inc
DBA Doing business as
Authorized official Paul, Leslie D. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2010
Last updated Mar 25th, 2010 - about 14 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 1871817460 NPPES
California MEDICAID OOG615060

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