Ladera Medical Practice Inc
LBN: Ladera Medical Practice Inc
Ladera Medical Practice Inc is an health care organization with primary practice located at 5141 Crenshaw Blvd , Los Angeles CA 90043-1853. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Ladera Medical Practice Inc can be contacted via phone (323) 545-9288, or through Weston, Deedee via phone (323) 545-9288.
Contact Information
Primary practice address
5141 Crenshaw Blvd
Los Angeles CA 90043-1853
Phone: (323) 545-9288
Fax: (323) 545-9287
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | California | |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | California | |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | California |
Profile Details
| NPI number | 1689849481 |
|---|---|
| LBN Legal business name | Ladera Medical Practice Inc |
| DBA Doing business as | |
| Authorized official | Weston, Deedee |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 23rd, 2008 |
| Last updated | Mar 27th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689849481 | NPPES |
| California | MEDICAID | 00A630290 | |
| California | MEDICAID | 00G459770 |
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