MEDICARE: L AND P MEDICAL GROUP INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	261QD0000X	Dental Clinic/Center
3	208600000X	Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710077961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L AND P MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	1107 S ALVARADO ST STE 102
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-4161
Country	:	US
Telephone Number	:	213-380-9999
Fax Number	:	213-380-7904

Provider Business Practice Location Address
First Line	:	1107 S ALVARADO ST STE 102
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-4161
Country	:	US
Telephone Number	:	213-380-9999
Fax Number	:	213-380-7904

Authorized Official
Title or Position	:	MD
Name	:	LOGHMAN ABDIAN
Credential	:	MD
Telephone Number	:	213-380-9999

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	05/29/2020

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Directions to “L AND P MEDICAL GROUP INC ” Practice Location

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