Healthcare Provider Details
I. General information
NPI: 1073367264
Provider Name (Legal Business Name): ALL MEDICAL CONSULTS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/15/2024
Last Update Date: 04/15/2024
Certification Date: 04/15/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7024 MELROSE AVE STE 460
LOS ANGELES CA
90038-3394
US
IV. Provider business mailing address
8424 SANTA MONICA BLVD STE A
WEST HOLLYWOOD CA
90069-4267
US
V. Phone/Fax
- Phone: 310-494-6610
- Fax: 323-391-4372
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RN0300X |
| Taxonomy | Nephrology Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSHUA
LEWIS
Title or Position: PRESIDENT
Credential: MD
Phone: 310-494-6610