# LUIS C. NATALI MD, A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1750676219
- **Authorized official:** LUIS CARLOS NATALI M.D. (PRESIDENT)
- **Authorized official phone:** (914) 393-9660

## Contact information

- **Practice address:** 6221 WILSHIRE BLVD, SUITE 509, LOS ANGELES, CA 90048-5201
- **Practice address phone:** (914) 393-9660
- **Mailing address:** 6221 WILSHIRE BLVD, SUITE 509, LOS ANGELES, CA 90048-5201
- **Mailing address phone:** (914) 393-9660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 236835 | NY | — |
| 261QM2500X | Medical Specialty Clinic/Center | A115959 | CA | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | MD441094 | PA | — |
| 282N00000X | General Acute Care Hospital | A115959 | CA | — |

## Other

- **Enumeration date:** 06/13/2011
- **Last updated:** 06/13/2011