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General NPI Number Information
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NPI Number | 1962109033
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Entity Type | Organization
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Legal Business Name | LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH
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Dates
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Enumeration Date | 02/09/2023
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 241 N FIGUEROA ST
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City | LOS ANGELES
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State | CA
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Zip | 90012-2601
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Country | US
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Telephone | 213-240-8204
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Fax |
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Provider Business Mailing Address
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Address Line | 5555 FERGUSON DR STE 100-50
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City | COMMERCE
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State | CA
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Zip | 90022-5152
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIR, DIV OF MED & DENTAL AFFAIRS
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Name | NAMAN SHAH
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Credential | MD
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Telephone | 213-240-8220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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