MEDICARE: PHILIPPE H LEMOINE MD APC MD

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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	G79758	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609878123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIPPE H LEMOINE MD APC MD

Provider Business Mailing Address
First Line	:	2632 WILSHIRE BLVD # 512
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-4623
Country	:	US
Telephone Number	:	310-303-5071
Fax Number	:	310-899-3825

Provider Business Practice Location Address
First Line	:	2632 WILSHIRE BLVD STE 512
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-4623
Country	:	US
Telephone Number	:	310-303-5071
Fax Number	:	310-899-3825

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

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	10/30/2025

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