Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Columbia Medical Group, Inc

Organization Family Medicine Physician · NPI 1336365576

Columbia Medical Group, Inc is a Family Medicine Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1211 N Vermont Ave Ste 205
Los Angeles, CA 90029-1748
Phone: (323) 664-4114
Fax: (323) 664-4144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G36895 (CA)
General Practice Physician Taxonomy 208D00000X · Licence G36895 (CA)

Record details

NPI number1336365576
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hovik Simityan — Office Manager · (323) 664-4114
NPI enumeratedApril 17, 2007
Last updated in NPPESMarch 12, 2008
Mailing address1211 N Vermont Ave, Suite 205, Los Angeles, CA 90029-1748

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