; NPI #1124406012

Contact Information

AZEBRIA GIPSON

2331 E 120TH ST
LOS ANGELES, CA 90059-2629

Phone: 310-602-9575
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Women	282NW0100X
Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for

NPI #	`1124406012`
Entity	Organization
Organization subpart ¹	Not specified
Enumeration date	05/11/2015
Last updated	05/11/2015 - About 11 years ago
Identifiers	n/a

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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