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General NPI Number Information
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NPI Number | 1114180965
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Entity Type | Organization
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Legal Business Name | JOHN F. VANORE, MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 07/02/2008
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Last Update Date | 06/22/2015
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Provider Practice Location Address
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Address Line | 1700 E CESAR E CHAVEZ AVE SUITE 2500
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City | LOS ANGELES
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State | CA
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Zip | 90033-2424
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Country | US
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Telephone | 323-268-6731
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Fax | 323-268-6738
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Provider Business Mailing Address
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Address Line | 1700 E CESAR E CHAVEZ AVE SUITE 2500
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City | LOS ANGELES
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State | CA
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Zip | 90033-2424
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Country | US
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Telephone | 323-268-6731
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Fax | 323-268-6738
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN F VANORE
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Credential | M.D.
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Telephone | 323-268-6731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G29478
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License Number State | CA
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