DAVID CEVALLOS MD INC
NPI 1689039760
Contractor in Los Angeles, CA

Active since December 16, 2015
616 ST PAUL AVE, APT. 417, LOS ANGELES, CA 90017(323) 360-8421(626) 380-4743 Get Directions Write a Review

NPPES record last updated: December 16, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Contractor

About DAVID CEVALLOS MD INC

This page provides the complete NPI Profile along with additional information for David Cevallos Md Inc, a provider established in Los Angeles, California operating as a Contractor. The healthcare provider is registered in the NPI registry with number 1689039760 assigned on December 2015. The practitioner's primary taxonomy code is 171W00000X with license number B5688077 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is David Cevallos Md (Ceo)

NPI
1689039760 Verify this NPI
Provider Name
DAVID CEVALLOS MD INC
Entity Type
Organization
Location Address
616 ST PAUL AVE APT. 417 LOS ANGELES, CA 90017
Location Phone
(323) 360-8421
Location Fax
(626) 380-4743
Mailing Address
616 ST PAUL AVE APT. 417 LOS ANGELES, CA 90017
Mailing Phone
(323) 360-8421
Mailing Fax
(626) 380-4743
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-16-2015
Last Update Date
12-16-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Contractor

Taxonomy Code
171W00000X
Type
Other Service Providers
License No.
B5688077
License State
CA
Taxonomy Description
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID CEVALLOS MD

Authorized Official Title
CEO
Authorized Official Phone
(323) 360-8421

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689039760, enumerated as an "organization" on December 16, 2015.

The provider is located at 616 ST PAUL AVE APT. 417 LOS ANGELES, CA 90017 and the phone number is (323) 360-8421.

Contractor with taxonomy code 171W00000X.