Provider Demographics
NPI:1811091184
Name:VOLPICELLI, LOUIS JAMES (MD)
Entity type:Individual
Prefix:
First Name:LOUIS
Middle Name:JAMES
Last Name:VOLPICELLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4560 ADMIRALTY WAY
Mailing Address - Street 2:#201
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292
Mailing Address - Country:US
Mailing Address - Phone:310-577-7555
Mailing Address - Fax:310-827-5633
Practice Address - Street 1:4560 ADMIRALTY WAY
Practice Address - Street 2:#201
Practice Address - City:MARINA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90292
Practice Address - Country:US
Practice Address - Phone:310-577-7555
Practice Address - Fax:310-827-5633
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-08
Last Update Date:2009-01-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG39786207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G39760Medicaid
CAG39786Medicare Oscar/Certification
CA00G397860Medicare PIN
CAA92120Medicare UPIN