MEDICARE: PAUL D FIRST MD, A MEDICAL CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	G037229	CA

General Provider Information

NPI Number	:	1033254040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAUL D FIRST MD, A MEDICAL CORP

Provider Business Mailing Address
First Line	:	7080 HOLLYWOOD BLVD STE 902
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90028-6959
Country	:	US
Telephone Number	:	323-462-6753
Fax Number	:	323-426-1390

Provider Business Practice Location Address
First Line	:	7080 HOLLYWOOD BLVD STE 902
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90028-6959
Country	:	US
Telephone Number	:	323-462-6753
Fax Number	:	323-426-1390

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	NED LACHMAN
Credential	:
Telephone Number	:	323-462-6753

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	01/11/2012

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