Dr. Michael Lawrence Genova, M.D.
Family Medicine in Hawthorne, CA. Individual provider (NPI-1).
NPI number1376579227
StatusActive
Last updated in NPPESDec 15, 2025
Details
- NPI
- 1376579227
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Lawrence Genova
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2006
- Certification date
- Dec 15, 2025
- Last updated
- Dec 15, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | G076648 | CA | Yes |
Practice location
5400 W Rosecrans Ave Ste 100Hawthorne, CA 90250-6686
Phone 310-643-8500
Mailing address
Po Box 35380Las Vegas, NV 89133-5380
Phone 702-579-3203
Other practice locations
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