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CALVARY MEDICAL CLINIC, INC.
NPI 1295976199
Clinic/Center in Los Angeles, CA

Active since March 23, 2009
11502 S VERMONT AVE, SUITE A, LOS ANGELES, CA 90044(323) 757-1557(323) 757-1461 Get Directions Write a Review

NPPES record last updated: March 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Calvary Medical Clinic, Inc. NPPES

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

CALVARY MEDICAL CLINIC, INC. (NPI 1295976199) is a healthcare organization registered as a clinic/center in Los Angeles, California and active in the NPI registry since March 2009. The organization lists Christopher Chiedu Okafor, President, as its authorized official.

NPPES Registry Identity

NPI1295976199
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCALVARY MEDICAL CLINIC, INC.
Location Address11502 S VERMONT AVE, SUITE ALos Angeles, CA 90044-6522
Mailing Address11502 S Vermont Ave, Suite ALos Angeles, CA 90044-6522 · (323) 757-1557 · Fax (323) 757-1461
Phone(323) 757-1557
Fax(323) 757-1461
Organization SubpartNo
Authorized OfficialChristopher Chiedu OkaforPresident · (323) 757-1557
Enumeration DateMarch 23, 2009
✔ NPI 1295976199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · A53229
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
11502 S VERMONT AVE, Los Angeles, CA 90044
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Other Identifiers 1

Medicaid1336275981CA

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.

SILVIA MENJIVAR
Counselor (Addiction (Substance Use Disorder))
11502 S VERMONT AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 755-2742
VERRETTA DEOROSAN M.D.
Internal Medicine
11502 S VERMONT AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 779-2800
DR. LOREN DONNELL SMITH OD
Optometrist
11502 S VERMONT AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 756-3937
OPEN ARMS MEN'S CENTER
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
11502 S VERMONT AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 755-2742
WILSON WILLIAMS
Counselor (Addiction (Substance Use Disorder))
11502 S VERMONT AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 755-2742
ELIZABETH CASTRO
Counselor (Addiction (Substance Use Disorder))
11502 S VERMONT AVE, #D
LOS ANGELES, CA 90044
Los Angeles County (323) 755-2742
JEFFREY COPRICH
Counselor (Addiction (Substance Use Disorder))
11502 S VERMONT AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 755-2742
JOHN CLEMMONS
Counselor (Addiction (Substance Use Disorder))
11502 S VERMONT AVE
LOS ANGELES, CA 90044
Los Angeles County (323) 755-2742

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 Calvary Medical Clinic, Inc.'s NPI number?

The NPI number for Calvary Medical Clinic, Inc. is 1295976199. It was assigned to this organization in the NPPES registry on March 23, 2009.

Where is Calvary Medical Clinic, Inc. located?

Calvary Medical Clinic, Inc. is located at 11502 S Vermont Ave Suite A, Los Angeles, CA 90044. The listed phone number is (323) 757-1557.

What is Calvary Medical Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Calvary Medical Clinic, Inc. was last updated on March 23, 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.