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General NPI Number Information
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NPI Number | 1558548743
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Entity Type | Organization
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Legal Business Name | LOS ANGELES DOCTORS CORP
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2231 S WESTERN AVE
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City | LOS ANGELES
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State | CA
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Zip | 90018-1302
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Country | US
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Telephone | 310-679-3321
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Fax | 310-675-0120
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Provider Business Mailing Address
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Address Line | 2231 S WESTERN AVE
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City | LOS ANGELES
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State | CA
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Zip | 90018-1302
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Country | US
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Telephone | 310-679-3321
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Fax | 310-675-0120
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Authorized Official
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Title or Position | DIRECTOR OF THE BUSINESS OFFICE
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Name | MRS. ASTRA JOHNSON
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Credential |
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Telephone | 310-679-3321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State | CA
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