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Organization
LUMINOUS HEALTH INC
Active
Organization
LUMINOUS HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JACOB GHODS MD (CEO)
(310) 430-4513
Entity
Organization
Contact information
Practice address
1086 S FAIRFAX AVE, LOS ANGELES, CA 90019-4401
(310) 818-3476
(310) 818-3476
Mailing address
1086 S FAIRFAX AVE, LOS ANGELES, CA 90019-4401
(310) 818-3476
(310) 818-3476
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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