Organization
JAMES T SCOTT MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES THOMAS SCOTT M.D. (PRESIDENT)
(310) 883-8153
Entity
Organization
Contact information
Practice address
12011 SAN VICENTE BLVD, 408, LOS ANGELES, CA 90049-4926
(310) 883-8153
(310) 454-7351
Mailing address
12011 SAN VICENTE BLVD, 408, LOS ANGELES, CA 90049-4926
(310) 883-8153
(310) 454-7351
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G21732
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G217320
—
CA
01
—
1770667578
INDIVIDUAL NPI
CA
01
—
DE555A
MEDICARE GROUP PTAN
CA
01
—
DE556Z
MEDICARE INDIVIDUAL PTAN
CA
Enumeration date
09/30/2009
Last updated
07/10/2010
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