PROACTIVE WORK HEALTH MEDICAL CENTER INC NPI 1336260421

NPI Information

NPI: 1336260421
Provider Name: PROACTIVE WORK HEALTH MEDICAL CENTER INC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 05D2087768

Address:
1230 W 3RD ST
LOS ANGELES, CA
ZIP 90017
Phone: (213) 977-9300
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PROACTIVE WORK HEALTH MEDICAL CENTER INC is a multi-specialty clinic center in Los Angeles, CA. PROACTIVE WORK HEALTH MEDICAL CENTER INC NPI is 1336260421. The provider is registered as an organization entity type.

The provider's business location address is:

1230 W 3RD ST
LOS ANGELES, CA
ZIP 90017-408
Phone: (213) 977-9300
Fax: (213) 977-9600

The provider's authorized official is Stephen R Greene .
The authorized official title is President and has the following contact phone number (213) 977-9300.

The CLIA number assigned to this NPI record is 05D2087768 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	Yes
2	261QP2000X	Clinic/Center	Physical Therapy	X
3	261QP2300X	Clinic/Center	Primary Care	X
4	261QU0200X	Clinic/Center	Urgent Care	X
5	261QX0100X	Clinic/Center	Occupational Medicine	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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