L a Star Medical Group, Inc.

NPI #1386025773 in South Gate, California

Provider Information

NPI Number: 1386025773
Entity Type: Organization
Organization Name: L a Star Medical Group, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Jun 11, 2015
Last Updated: Jun 11, 2015

Practice Location

Address: 10132 CALIFORNIA AVE
City: South Gate
State: California
ZIP Code: 90280-6008
Phone: (323) 566-4411

Authorized Official

Name: EMILE SHENOUDA, MD
Title: PRESIDENT
Phone: (323) 566-4411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Family Medicine	207Q00000X	Primary

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