Organization
ADVANCED LUNG CENTER MEDICAL GROUP INC.
Active
Organization
ADVANCED LUNG CENTER MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMSHID NIKNAM M.D. (PRESIDENT)
(310) 275-7575
Entity
Organization
Contact information
Practice address
401 S LA BREA AVE STE 205, INGLEWOOD, CA 90301-2321
(310) 275-7575
Mailing address
401 S LA BREA AVE STE 205, INGLEWOOD, CA 90301-2321
(310) 275-7575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A52081
CA
207RP1001X
Pulmonary Disease Physician
Primary
A52081
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A520810
—
CA
Enumeration date
11/10/2006
Last updated
04/22/2014
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