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L.A.R.P
NPI 1477255222
General Practice in Long Beach, CA

Active since March 17, 2023
1216 W MADDOX ST, LONG BEACH, CA 90810(562) 578-9290 Get Directions Write a Review

NPPES record last updated: May 20, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 20, 2023, Mar 18, 2023 (2 updates tracked since 2023).

About L.a.r.p NPPES

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

L.A.R.P (NPI 1477255222) is a healthcare organization registered as a general practice in Long Beach, California and active in the NPI registry since March 2023. The organization lists Marchael Gordon, Ceo/founder, as its authorized official.

NPPES Registry Identity

NPI1477255222
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLOS ANGELES RENAISSANCE PROJECT
Location Address1216 W MADDOX STLong Beach, CA 90810-2241
Mailing Address1216 W Maddox StLong Beach, CA 90810-2241
Phone(562) 578-9290
Organization SubpartNo
Authorized OfficialMarchael GordonCeo/founder · (562) 578-9290
Enumeration DateMarch 17, 2023
Last NPPES UpdateMay 20, 20232 updates tracked since enumeration
NPPES CertifiedMay 20, 2023
✔ NPI 1477255222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1216 W MADDOX ST, Long Beach, CA 90810
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Other Names 1

Other NameL.a.r.p

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 Los Angeles Renaissance Project's NPI number?

The NPI number for Los Angeles Renaissance Project is 1477255222. It was assigned to this organization in the NPPES registry on March 17, 2023. The provider is also known as L.A.R.P.

Where is Los Angeles Renaissance Project located?

Los Angeles Renaissance Project is located at 1216 W Maddox St, Long Beach, CA 90810. The listed phone number is (562) 578-9290.

What is Los Angeles Renaissance Project's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Los Angeles Renaissance Project was last updated on May 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.