Organization · Type 2 NPI
MDM Renewcare Medical Corporation
General Practice Physician · Los Angeles, CA
NPI number
1104742733
Active
Practice location
501 W Olympic Blvd Apt 905
Los Angeles, CA 90015-1451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1104742733
MDM Renewcare Medical Corporation's National Provider Identifier is 1104742733, issued on Jun 27, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 27, 2026.