Provider Demographics
NPI:1639689615
Name:HOUSECALL MULTISPECIALTY MD INC
Entity Type:Organization
Organization Name:HOUSECALL MULTISPECIALTY MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RUMI
Authorized Official - Middle Name:K
Authorized Official - Last Name:LAKHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-674-7859
Mailing Address - Street 1:2105 BEVERLY BLVD STE 233A
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90057-2216
Mailing Address - Country:US
Mailing Address - Phone:136-747-8592
Mailing Address - Fax:213-674-7863
Practice Address - Street 1:2105 BEVERLY BLVD STE 233A
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-2216
Practice Address - Country:US
Practice Address - Phone:213-674-7859
Practice Address - Fax:213-674-7863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-04
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty