LA VASCULAR ACCESS CTR MEDICAL GRP
NPI 1104960558
Specialist in Inglewood, CA

Q: What is La Vascular Access Ctr Medical Grp's NPI number?

The NPI number for La Vascular Access Ctr Medical Grp is 1104960558. It was assigned to this organization in the NPPES registry on February 19, 2007.

Q: What is La Vascular Access Ctr Medical Grp's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since February 19, 2007

323 N PRAIRIE AVE, SUITE 114, INGLEWOOD, CA 90301(310) 674-9300(310) 674-9301 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 14, 2021, Jun 21, 2018 (2 updates tracked since 2018).

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About La Vascular Access Ctr Medical Grp NPPES

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

LA VASCULAR ACCESS CTR MEDICAL GRP (NPI 1104960558) is a healthcare organization registered as a specialist in Inglewood, California and active in the NPI registry since February 2007. The organization lists Jack E Rubin, Authorized Offical, as its authorized official.

NPPES Registry Identity

NPI1104960558

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameLA VASCULAR ACCESS CTR MEDICAL GRP

Location Address323 N PRAIRIE AVE, SUITE 114Inglewood, CA 90301-4502

Mailing Address323 N Prairie Ave, Suite 114Inglewood, CA 90301-4502 · (310) 674-9300 · Fax (310) 674-9301

Phone(310) 674-9300

Fax(310) 674-9301

Organization SubpartNo

Authorized OfficialJack E RubinAuthorized Offical · (310) 674-9300

Enumeration DateFebruary 19, 2007

Last NPPES UpdateOctober 14, 20212 updates tracked since enumeration

NPPES CertifiedOctober 14, 2021

✔ NPI 1104960558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

323 N PRAIRIE AVE, Inglewood, CA 90301

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Other Identifiers 2

OtherW21161CA · Medicare - Group

OtherGR0105550CA · Medi-cal - Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SHEAVA RAHIMI

Rehabilitation Practitioner