De Longpre Medical Center INC
Clinic/Center, Urgent Care in Los Angeles, CA. Organization (NPI-2).
NPI number1154047553
StatusActive
Last updated in NPPESOct 17, 2022
Details
- NPI
- 1154047553
- Entity type
- Organization (NPI-2)
- Legal business name
- De Longpre Medical Center INC
- Organization subpart
- No
- Enumeration date
- Oct 17, 2022
- Certification date
- Sep 6, 2022
- Last updated
- Oct 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Practice location
326 N Vermont Ave Ste ALos Angeles, CA 90004-3511
Phone 323-666-1276
Mailing address
326 N Vermont Ave Ste ALos Angeles, CA 90004-3511
Phone 323-666-1276
Authorized official
Michele Shamell
Billing Manager
8885855510
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