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Organization
LUMINARY HEALTH
Active
Organization
LUMINARY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GHODS MD (CEO)
(310) 430-4513
Entity
Organization
Contact information
Practice address
1086 S FAIRFAX AVE, LOS ANGELES, CA 90019-4401
(424) 326-1361
(310) 602-6515
Mailing address
1086 S FAIRFAX AVE, LOS ANGELES, CA 90019-4401
(424) 326-1361
(310) 602-6515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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