Organization
TERESA MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARJANG NAIM M.D. (OWNER)
(323) 660-5900
Entity
Organization
Contact information
Practice address
1407 N VERMONT AVE # A, LOS ANGELES, CA 90027-6023
(310) 908-1007
Mailing address
326 N VERMONT AVE, LOS ANGELES, CA 90004-3511
(323) 660-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G15628
CA
207VG0400X
Gynecology Physician
Primary
A70290
CA
207VX0000X
Obstetrics Physician
A70290
CA
208000000X
Pediatrics Physician
G15628
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0090191
—
CA
Enumeration date
04/26/2007
Last updated
03/20/2012
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