LIFE CLINIC MEDICAL, PA
NPI 1942546692
Internal Medicine in St Louis Park, MN

Q: What is Life Clinic Medical, PA's NPI number?

The NPI number for Life Clinic Medical, PA is 1942546692. It was assigned to this organization in the NPPES registry on December 28, 2012.

Q: What is Life Clinic Medical, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since December 28, 2012

5525 CEDAR LAKE RD S, ST LOUIS PARK, MN 55416(866) 240-8437(866) 240-9836 Get Directions Write a Review

NPPES record last updated: May 17, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Life Clinic Medical, Pa NPPES

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

LIFE CLINIC MEDICAL, PA (NPI 1942546692) is a healthcare organization registered as an internal medicine in St Louis Park, Minnesota and active in the NPI registry since December 2012. The organization lists Kambiz Farbakhsh, Owner/ Founder, as its authorized official.

NPPES Registry Identity

NPI1942546692

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameLIFE CLINIC MEDICAL, PA

Location Address5525 CEDAR LAKE RD SSt Louis Park, MN 55416-1420

Mailing Address2902 Corporate Pl, CorporateChanhassen, MN 55317-4560 · (866) 240-8437

Phone(866) 240-8437

Fax(866) 240-9836

Organization SubpartNo

Authorized OfficialKambiz FarbakhshOwner/ Founder · (866) 240-8437

Enumeration DateDecember 28, 2012

Last NPPES UpdateMay 17, 2013

✔ NPI 1942546692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MN · 1865

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5525 CEDAR LAKE RD S, St Louis Park, MN 55416

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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

Other Providers at the Same Location NPPES 12

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

LIFE CLINIC, P.A.

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