MEDICARE: HEALTH CARE SYSTEMS INTERNATIONAL, 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
1	208D00000X	General Practice Physician	W19726	CA

General Provider Information

NPI Number	:	1942393624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH CARE SYSTEMS INTERNATIONAL, INC.

Provider Business Mailing Address
First Line	:	P O BOX 43246
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90043
Country	:	US
Telephone Number	:	323-299-6864
Fax Number	:

Provider Business Practice Location Address
First Line	:	2204 WEST MARTIN LUTHER KING BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90008
Country	:	US
Telephone Number	:	323-299-6864
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MELVIN LEWIS
Credential	:	M.D.
Telephone Number	:	323-299-6864

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	08/22/2020

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