MEDICARE: AZEBRIA GIPSON

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	261QP2300X	Primary Care Clinic/Center
2	282NW0100X	Women's Hospital

General Provider Information

NPI Number	:	1124406012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AZEBRIA GIPSON

Provider Business Mailing Address
First Line	:	2331 E 120TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90059-2629
Country	:	US
Telephone Number	:	310-602-9575
Fax Number	:

Provider Business Practice Location Address
First Line	:	2331 E 120TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90059-2629
Country	:	US
Telephone Number	:	310-602-9575
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2015
Last Update Date	:	05/11/2015

Similar Medicare Providers

1881671022 — DR. LUCENIA A ARCINUE M.D.
Practice Location Address:

2400 S FLOWER ST
LOS ANGELES, CA
90007-2629

Practice Phone: 213-742-1000
Practice Fax:

1922074954 — JOAN FRANCES WRIGHT MD
Practice Location Address:

2400 S FLOWER ST , 3RD FLOOR
LOS ANGELES, CA
90007-2629

Practice Phone: 213-742-6581
Practice Fax: 213-742-1583

1235106246 — DR. RICHARD EARL BOWEN MD
Practice Location Address:

2400 S. FLOWER ST.
LOS ANGELES, CA
90007-2629

Practice Phone: 213-742-1330
Practice Fax: 213-742-1137

1790754208 — DR. MARTIN L GORDON M.D.
Practice Location Address:

2400 S FLOWER ST
LOS ANGELES, CA
90007-2629

Practice Phone: 213-742-1000
Practice Fax:

1912957598 — ORTHO URGENT CARE MEDICAL GROUP, INC.
Practice Location Address:

2400 S FLOWER ST
LOS ANGELES, CA
90007-2629

Practice Phone: 213-742-1013
Practice Fax:

1013968221 — OXFORD MEDICAL GROUP, INC.
Practice Location Address:

2400 S FLOWER ST
LOS ANGELES, CA
90007-2629

Practice Phone: 213-742-1013
Practice Fax:

Directions to “ AZEBRIA GIPSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.