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TERESA MEDICAL CENTER, INC.
NPI 1205056033
Obstetrics & Gynecology - Gynecology in Los Angeles, CA

Active since April 26, 2007CLIA 05D1029809 · Waiver
1407 N VERMONT AVE # A, LOS ANGELES, CA 90027(310) 908-1007 Get Directions Write a Review

NPPES record last updated: March 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Teresa Medical Center, Inc. NPPES

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

TERESA MEDICAL CENTER, INC. (NPI 1205056033) is a healthcare organization registered as a gynecology in Los Angeles, California and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through April 21, 2027 and lists Arjang Naim, Owner, as its authorized official.

NPPES Registry Identity

NPI1205056033
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameTERESA MEDICAL CENTER, INC.
Location Address1407 N VERMONT AVE # ALos Angeles, CA 90027-6023
Mailing Address326 N Vermont AveLos Angeles, CA 90004-3511 · (323) 660-5900
Phone(310) 908-1007
Organization SubpartNo
Authorized OfficialArjang NaimOwner · (323) 660-5900
Enumeration DateApril 26, 2007
Last NPPES UpdateMarch 20, 2012
✔ NPI 1205056033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in CA · A70290
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License G15628 (CA)
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License A70290 (CA)
Also ListedPediatricsTaxonomy 208000000X · License G15628 (CA)
1407 N VERMONT AVE # A, Los Angeles, CA 90027
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedW15695CA · Medicare Grp
MedicaidGR0090191CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1029809

Teresa Medical Center Inc · Los Angeles, CA
Active · expires Apr 21, 2027
CLIA Number05D1029809
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2025
Certificate Expiration DateApril 21, 2027
Laboratory DirectorArjang Naim, MD
Laboratory Phone(323) 660-5900
Laboratory LocationTeresa Medical Center Inc326 N Vermont Ave, Los Angeles, CA 90004
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Teresa Medical Center, Inc.'s NPI number?

The NPI number for Teresa Medical Center, Inc. is 1205056033. It was assigned to this organization in the NPPES registry on April 26, 2007.

Where is Teresa Medical Center, Inc. located?

Teresa Medical Center, Inc. is located at 1407 N Vermont Ave # A, Los Angeles, CA 90027. The listed phone number is (310) 908-1007.

What is Teresa Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Does Teresa Medical Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1029809) is associated with this NPI, valid through April 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Teresa Medical Center, Inc. was last updated on March 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.