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NPI Code Detail

MEDICARE: DOWNTOWN MEDICAL CENTER INC

MEDICARE: DOWNTOWN MEDICAL CENTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A41985OTHERCAMEDICAL LICENSE

General Provider Information

NPI Number : 1053819508
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOWNTOWN MEDICAL CENTER INC
Provider Business Mailing Address
First Line : 2252 BEVERLY BLVD STE 102
Second Line :
City : LOS ANGELES
State : CA
Zip : 90057-2246
Country : US
Telephone Number : 213-252-7281
Fax Number : 213-252-7282
Provider Business Practice Location Address
First Line : 2252 BEVERLY BLVD STE 102
Second Line :
City : LOS ANGELES
State : CA
Zip : 90057-2246
Country : US
Telephone Number : 213-252-7281
Fax Number : 213-252-7282
Authorized Official
Title or Position : CEO
Name : JOHN SPILLANE BIRNS
Credential : MD
Telephone Number : 213-252-7281
Provider Enumeration Date : 01/30/2018
Last Update Date : 01/30/2018

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Directions to “DOWNTOWN MEDICAL CENTER INC ” Practice Location

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