La Community Care Medical Associates Inc

LBN: La Community Care Medical
La Community Care Medical Associates Inc is an health care organization with primary practice located at 11633 Hawthorne Blvd Ste 103 , Hawthorne CA 90250-2323. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. La Community Care Medical can be contacted via phone (310) 219-2929, or through Iluore, Augustine via phone (310) 219-2929.

Contact Information

Primary practice address
11633 Hawthorne Blvd Ste 103 Hawthorne CA 90250-2323
Fax: (310) 219-2940
Website:
Authorized official contact:
Name: Iluore, Augustine Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A053317 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A053317 California

Profile Details

NPI number 1801099486
LBN Legal business name La Community Care Medical
DBA Doing business as La Community Care Medical Associates Inc
Authorized official Iluore, Augustine Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2007
Last updated Apr 14th, 2017 - about 8 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 1801099486 NPPES
California MEDICAID GR0081270

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