Los Angeles Multispecialty Medical Group

LBN: Los Angeles Multispecialty Medical Group
Los Angeles Multispecialty Medical Group is an health care organization with primary practice located at 248 N Locust St , Inglewood CA 90301-1258. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is the primary health care specialty. Los Angeles Multispecialty Medical Group can be contacted via phone (310) 680-1810, or through Maxey, Randall Whitaker via phone (310) 680-1810.

Contact Information

Primary practice address
248 N Locust St Inglewood CA 90301-1258
Fax: (310) 680-1811
Website:
Authorized official contact:
Name: Maxey, Randall Whitaker Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C38014 California
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1528113149
LBN Legal business name Los Angeles Multispecialty Medical Group
DBA Doing business as
Authorized official Maxey, Randall Whitaker Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Mar 25th, 2008 - about 16 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 1528113149 NPPES
California Other C30814 MED LICENCE

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