Organization · Type 2 NPI

Lda Medical Corporation

Clinic/Center · Santa Monica, CA

NPI number 1174436117 Active

Practice location

2632 Wilshire Blvd, Ste 685
Santa Monica, CA 90403

Call (310) 424-7013 Map

Fax (239) 999-1340

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNone listed
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1174436117

Lda Medical Corporation's National Provider Identifier is 1174436117, issued on Sep 22, 2026. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Santa Monica, CA. The record was last updated on Sep 22, 2026.