# GHOZLAND-LIPELES, A PROFESSIONAL MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1477980597
- **Authorized official:** DR. JAMIE ALAN LIPELES DO (PRESIDENT)
- **Authorized official phone:** (310) 629-2447

## Contact information

- **Practice address:** 9808 VENICE BLVD, PENTHOUSE, CULVER CITY, CA 90232-2732
- **Practice address phone:** (310) 629-2447
- **Practice address fax:** (310) 306-5555
- **Mailing address:** 9808 VENICE BLVD, PENTHOUSE, CULVER CITY, CA 90232-2732
- **Mailing address phone:** (310) 629-2447
- **Mailing address fax:** (310) 306-5555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 20A10501 | CA | Yes |

## Other

- **Enumeration date:** 10/03/2013
- **Last updated:** 10/03/2013