Organization · Type 2 NPI

Novaxis Healthcare Inc

Adult Medicine Physician · Los Angeles, CA

NPI number 1174136899 Active

Practice location

8540 S Sepulveda Blvd Ste 120
Los Angeles, CA 90045-3807

Fax (309) 326-4624

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XNone listed
Internal Medicine Physician 207R00000XNone listed
Home Health Agency 251E00000XNone listed
Public Health or Welfare Agency 251K00000XNone listed
Corporate Health Clinic/Center 261QC1800XNone listed
Health Service Clinic/Center 261QH0100XNone listed
Primary Care Clinic/Center 261QP2300XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Prevention Professional 405300000XNone listed

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1174136899

Novaxis Healthcare Inc's National Provider Identifier is 1174136899, issued on Aug 24, 2020. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 30, 2022.