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Contact Information

LAVELLE LARUE II
4500 PARK GRANADA
CALABASAS, CA91302-1663
 Phone: 213-667-6944
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Private Vehicle

347C00000X
Indicates primary specialty

NPI Profile & details for

NPI # 1750098281
Entity Organization
Organization subpart 1 Not specified
Enumeration date 11/03/2022
Last updated 11/03/2022 - About 4 years ago
Identifiers
CA License # 8TVP754
CA Medicaid 88-1668629
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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