# ID MED

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

## Provider details

- **NPI number:** 1154780559
- **Authorized official:** ELIZABETH LUBLINER (ADMINISTRATOR)
- **Authorized official phone:** (310) 784-5880

## Contact information

- **Practice address:** 23430 HAWTHORNE BLVD STE 200, TORRANCE, CA 90505-4730
- **Practice address phone:** (310) 784-5880
- **Practice address fax:** (310) 325-3117
- **Mailing address:** 23430 HAWTHORNE BLVD STE 200, TORRANCE, CA 90505-4730
- **Mailing address phone:** (310) 784-5880
- **Mailing address fax:** (310) 325-3117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | A118780 | CA | Yes |

## Other

- **Enumeration date:** 02/15/2016
- **Last updated:** 04/06/2018