Life Care Medical Clinic a Professional Corporation

NPI #1962797738 in Los Angeles, California

Provider Information

NPI Number: 1962797738
Entity Type: Organization
Organization Name: Life Care Medical Clinic a Professional Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: LIFE CARE MEDICAL CLINIC A PROFESSIONAL CORPORATION
Primary Specialty: General Practice
Enumeration Date: Jun 9, 2011
Last Updated: Jul 15, 2011

Practice Location

Address: 1211 N VERMONT AVE
Address 2: SUITE 207
City: Los Angeles
State: California
ZIP Code: 90029-1748
Phone: (323) 664-4044

Authorized Official

Name: JOHN LEONARD GOFF, M.D.
Title: PRESIDENT
Phone: (323) 664-4044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X
Emergency Medicine	207P00000X
General Practice	208D00000X	Primary

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