Organization
CARL E. HAYES, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL E HAYES M.D. (OWNER)
(310) 467-3203
Entity
Organization
Contact information
Practice address
4004 S VERMONT AVE STE 6, LOS ANGELES, CA 90037-1976
(323) 232-6686
(323) 232-2260
Mailing address
4004 S VERMONT AVE STE 6, LOS ANGELES, CA 90037-1976
(323) 232-6686
(323) 232-2260
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
G66485
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942287180
NPI
CA
Enumeration date
08/07/2015
Last updated
08/07/2015
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