Provider Demographics
NPI:1033429691
Name:LEMUS MEDICAL, INC.
Entity Type:Organization
Organization Name:LEMUS MEDICAL, INC.
Other - Org Name:LEMUS MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-260-7900
Mailing Address - Street 1:5020 E. WASHINGTON BLVD.
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:CA
Mailing Address - Zip Code:90040-1237
Mailing Address - Country:US
Mailing Address - Phone:323-260-7900
Mailing Address - Fax:323-260-1087
Practice Address - Street 1:5020 E. WASHINGTON BLVD.
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:CA
Practice Address - Zip Code:90040-1237
Practice Address - Country:US
Practice Address - Phone:323-260-7900
Practice Address - Fax:323-260-1087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG42274261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine