Organization
GHOZLAND-LIPELES, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE ALAN LIPELES DO (PRESIDENT)
(310) 629-2447
Entity
Organization
Contact information
Practice address
9808 VENICE BLVD, PENTHOUSE, CULVER CITY, CA 90232-2732
(310) 629-2447
(310) 306-5555
Mailing address
9808 VENICE BLVD, PENTHOUSE, CULVER CITY, CA 90232-2732
(310) 629-2447
(310) 306-5555
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20A10501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376794966
—
CA
05
—
1750375929
—
CA
Enumeration date
10/03/2013
Last updated
10/03/2013
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