Healthcare Provider Details
I. General information
NPI: 1285681874
Provider Name (Legal Business Name): E & M MULTISPECIALTY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1300 N VERMONT AVE
LOS ANGELES CA
90027-6005
US
IV. Provider business mailing address
DEPT 6208
LOS ANGELES CA
90084-0001
US
V. Phone/Fax
- Phone: 714-522-2001
- Fax: 714-522-7503
- Phone: 714-522-2001
- Fax: 714-522-7503
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JOSEPH
S
ENGLANOFF
Title or Position: OWNER
Credential: M.D.
Phone: 714-522-2001