Lemi Medical Center Professional Corporation
Internal Medicine in Burlingame, CA. Organization (NPI-2).
NPI number1417045238
StatusActive
Last updated in NPPESJul 19, 2010
Details
- NPI
- 1417045238
- Entity type
- Organization (NPI-2)
- Legal business name
- Lemi Medical Center Professional Corporation
- Organization subpart
- No
- Enumeration date
- Oct 10, 2006
- Last updated
- Jul 19, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A77565 | CA | Yes |
Other names
- Nani Khananashvili Dba Lemi Medical Center (Former Legal Business Name)
Practice location
1838 El Camino RealSuite 100
Burlingame, CA 94010-3126
Phone 650-697-0361 · Fax 650-697-8752
Mailing address
1838 El Camino RealSuite 100
Burlingame, CA 94010-3126
Phone 650-697-0361 · Fax 650-697-8752
Authorized official
Nani Kanen
Owner
6506970361
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