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ANGELES MEDICAL CLINIC, INC.
NPI 1528344686
Family Medicine in Los Angeles, CA

Active since November 02, 2011CLIA 05D2037476 · Waiver
204 E PICO BLVD, LOS ANGELES, CA 90015(213) 457-4000(213) 457-6000 Get Directions Write a Review

NPPES record last updated: September 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angeles Medical Clinic, Inc. NPPES

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

ANGELES MEDICAL CLINIC, INC. (NPI 1528344686) is a healthcare organization registered as a family medicine in Los Angeles, California and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through February 28, 2028 and lists Sarvenaz Saadat Mobasser, President, as its authorized official.

NPPES Registry Identity

NPI1528344686
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameANGELES MEDICAL CLINIC, INC.
Location Address204 E PICO BLVDLos Angeles, CA 90015-2508
Mailing AddressPo Box 299Beverly Hills, CA 90213-0299 · (213) 457-4000 · Fax (213) 457-6000
Phone(213) 457-4000
Fax(213) 457-6000
Organization SubpartNo
Authorized OfficialSarvenaz Saadat MobasserPresident · (213) 457-4000
Enumeration DateNovember 2, 2011
Last NPPES UpdateSeptember 11, 2012
✔ NPI 1528344686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A104717
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
204 E PICO BLVD, Los Angeles, CA 90015
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Other Identifiers 1

Medicare PINFB348ACA

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 MULTIPLE SINGLE 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 05D2037476

Angeles Medical Clinic Inc · Los Angeles, CA
Active · expires Feb 28, 2028
CLIA Number05D2037476
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorSarvenaz Mobasser
Laboratory Phone(213) 457-4000
Laboratory LocationAngeles Medical Clinic Inc204 E Pico Blvd, Los Angeles, CA 90015
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. SARVENAZ SAADAT MOBASSER M.D.
Family Medicine
204 E PICO BLVD
LOS ANGELES, CA 90015
Los Angeles County (213) 457-4000

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 Angeles Medical Clinic, Inc.'s NPI number?

The NPI number for Angeles Medical Clinic, Inc. is 1528344686. It was assigned to this organization in the NPPES registry on November 2, 2011.

Where is Angeles Medical Clinic, Inc. located?

Angeles Medical Clinic, Inc. is located at 204 E Pico Blvd, Los Angeles, CA 90015. The listed phone number is (213) 457-4000.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Angeles Medical Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2037476) is associated with this NPI, valid through February 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Angeles Medical Clinic, Inc. was last updated on September 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.