# DE LONGPRE MEDICAL CENTER INC

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

## Provider details

- **NPI number:** 1154047553
- **Authorized official:** MICHELE SHAMELL (BILLING MANAGER)
- **Authorized official phone:** (888) 585-5510

## Contact information

- **Practice address:** 326 N VERMONT AVE STE A, LOS ANGELES, CA 90004-3511
- **Practice address phone:** (323) 666-1276
- **Mailing address:** 326 N VERMONT AVE STE A, LOS ANGELES, CA 90004-3511
- **Mailing address phone:** (323) 666-1276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/17/2022
- **Last updated:** 10/17/2022