# HOUSECALL MD MEDICAL PRACTICE MANAGEMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073228177
- **Authorized official:** TAREVA MARSHALL JD (ADMINISTRATIVE AND LEGAL EXECUTIVE)
- **Authorized official phone:** (757) 768-9126

## Contact information

- **Practice address:** 2051 N HIGHLAND AVE, LOS ANGELES, CA 90068-1373
- **Practice address phone:** (833) 432-5633
- **Practice address fax:** (833) 265-2088
- **Mailing address:** 1968 S COAST HWY \# 1469, LAGUNA BEACH, CA 92651-3681
- **Mailing address phone:** (833) 432-5633
- **Mailing address fax:** (833) 265-2088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/23/2023
- **Last updated:** 01/23/2023