Organization
LIFE CARE MEDICAL CLINIC A PROFESSIONAL CORPORATION
Active
Parent organization
LIFE CARE MEDICAL CLINIC A PROFESSIONAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFE CARE MEDICAL CLINIC A PROFESSIONAL CORPORATION
Authorized official
JOHN LEONARD GOFF M.D. (PRESIDENT)
(323) 664-4044
Entity
Organization
Contact information
Practice address
1211 N VERMONT AVE, SUITE 207, LOS ANGELES, CA 90029-1748
(323) 664-4044
Mailing address
1211 N VERMONT AVE, SUITE 207, LOS ANGELES, CA 90029-1748
(323) 664-4044
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C30424
CA
208D00000X
General Practice Physician
Primary
C30424
CA
251E00000X
Home Health Agency
C30424
CA
Other
Enumeration date
06/09/2011
Last updated
07/15/2011
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