Organization
LOS ANGELES MULTISPECIALTY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL WHITAKER MAXEY MD (PRESIDENT)
(310) 680-1810
Entity
Organization
Contact information
Practice address
248 N LOCUST ST, INGLEWOOD, CA 90301-1258
(310) 680-1810
(310) 680-1811
Mailing address
PO BOX 83246, LOS ANGELES, CA 90083-0246
(310) 680-1810
(310) 680-1811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C38014
CA
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C30814
MED LICENCE
CA
Enumeration date
01/24/2007
Last updated
03/25/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us