Organization · Type 2 NPI
Los Angeles Renaissance Project
General Practice Physician · Long Beach, CA
NPI number
1477255222
Active
Practice location
1216 W Maddox St
Long Beach, CA 90810-2241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | 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 1477255222
Los Angeles Renaissance Project's National Provider Identifier is 1477255222, issued on Mar 17, 2023. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Long Beach, CA. The record was last updated on May 20, 2023.