Organization
ESTIANDAN'S MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS P. ESTIANDAN M.D. (PRESIDENT)
(213) 483-7315
Entity
Organization
Contact information
Practice address
2115 BEVERLY BLVD, SUITE 100, LOS ANGELES, CA 90057-2200
(213) 483-6080
(213) 483-6234
Mailing address
2115 BEVERLY BLVD, SUITE 100, LOS ANGELES, CA 90057-2200
(213) 483-6080
(213) 483-6234
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A38326
CA
207R00000X
Internal Medicine Physician
A38326
CA
208VP0000X
Pain Medicine Physician
Primary
A38326
CA
Other
Enumeration date
10/11/2006
Last updated
09/11/2025
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