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Ladera Medical Practice Inc
General Practice Physician in Los Angeles, California
NPI 1689849481

Ladera Medical Practice Inc is a General Practice Physician based in Los Angeles, CA. Ladera Medical Practice Inc practices in Los Angeles, CA. The NPI Number for Ladera Medical Practice Inc is 1689849481 and holds a License No. (California).

The current practice location address for Ladera Medical Practice Inc is 5141 Crenshaw Blvd, Los Angeles, CA and can be reached out via phone at 323-545-9288 and via fax at 323-545-9287.

Location: 5141 Crenshaw Blvd, Los Angeles, CA, 90043-1853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689849481
Provider Name
Ladera Medical Practice Inc
Credential
Provider Entity Type
Organization
Address
5141 Crenshaw Blvd, Los Angeles, CA, 90043-1853
Phone Number
323-545-9288
Fax Number
323-545-9287
Provider Enumeration Date
04/23/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A630290 05 CA
00G459770 05 CA
institution
Provider Business Practice Location Address Details
Address
5141 Crenshaw Blvd
City
Los Angeles
State
California
Zip
90043-1853
Phone Number
323-545-9288
Fax Number
323-545-9287
person
Provider Business Mailing Address Details
Address
5141 Crenshaw Blvd
City
Los Angeles
State
California
Zip
90043-1853
Phone Number
323-545-9288
Fax Number
323-545-9287
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
(California)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Trauma Surgery
Taxonomy
2086S0127X
License No.
(California)
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
(California)
Definition
Definition to come...
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