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JIMMY L EZELL MEDICAL CORP
NPI 1053551739
Clinic/Center - Primary Care in Los Angeles, CA

Active since February 20, 2009
7500 S WESTERN AVE, LOS ANGELES, CA 90047(323) 971-2250(323) 971-5605 Get Directions Write a Review

NPPES record last updated: March 6, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jimmy L Ezell Medical Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIMMY L EZELL MEDICAL CORP (NPI 1053551739) is a healthcare organization registered as a primary care in Los Angeles, California and active in the NPI registry since February 2009. The organization lists Jimmy L Ezell, President, as its authorized official.

NPPES Registry Identity

NPI1053551739
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJIMMY L EZELL MEDICAL CORP
Location Address7500 S WESTERN AVELos Angeles, CA 90047-2429
Mailing Address7500 S Western AveLos Angeles, CA 90047-2429 · (323) 971-2250 · Fax (323) 971-5605
Phone(323) 971-2250
Fax(323) 971-5605
Organization SubpartNo
Authorized OfficialJimmy L EzellPresident · (323) 971-2250
Enumeration DateFebruary 20, 2009
Last NPPES UpdateMarch 6, 2009
✔ NPI 1053551739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · C27187
7500 S WESTERN AVE, Los Angeles, CA 90047
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Other Identifiers 3

Medicaid00C271870CA
Medicare UPINA87154CA
Medicare PINC27187CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jimmy L Ezell Medical Corp's NPI number?

The NPI number for Jimmy L Ezell Medical Corp is 1053551739. It was assigned to this organization in the NPPES registry on February 20, 2009.

Where is Jimmy L Ezell Medical Corp located?

Jimmy L Ezell Medical Corp is located at 7500 S Western Ave, Los Angeles, CA 90047. The listed phone number is (323) 971-2250.

What is Jimmy L Ezell Medical Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Jimmy L Ezell Medical Corp was last updated on March 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.