MEDICARE: DR. JAMES LEMUS MD

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
1	2083X0100X	Occupational Medicine Physician	G42274	CA

General Provider Information

NPI Number	:	1851487359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES LEMUS MD

Provider Business Mailing Address
First Line	:	5020 EAST WASHINGTON BLVD.
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90040-1237
Country	:	US
Telephone Number	:	323-260-7900
Fax Number	:

Provider Business Practice Location Address
First Line	:	5020 EAST WASHINGTON BLVD.
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90040-1237
Country	:	US
Telephone Number	:	323-260-7900
Fax Number	:	323-266-1087

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	10/11/2010

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