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Contact Information

ADVANCED LUNG CENTER MEDICAL GROUP INC.
401 S LA BREA AVE STE 205
INGLEWOOD, CA90301-2321
 Phone: 310-275-7575
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ADVANCED LUNG CENTER MEDICAL GROUP INC.

NPI Number 1164593323
LBN Legal business name ADVANCED LUNG CENTER MEDICAL GROUP INC.
Authorized official JAMSHID NIKNAM - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/10/2006
Last updated 04/22/2014 - About 12 years ago
Identifiers
CA License # A52081
CA Medicaid 00A520810
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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