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

Immanuel Medical Center Inc

Organization Internal Medicine Physician · NPI 1912107202

Immanuel Medical Center Inc is an Internal Medicine Physician in Los Angeles, California. Registered with an NPI since 2007.

In the registry since
2007
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

903 Crenshaw Blvd Ste 302
Los Angeles, CA 90019-1967
Phone: (323) 931-8866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1912107202
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clyde Arnold — President · (323) 931-8866
NPI enumeratedJuly 24, 2007
Last updated in NPPESJuly 24, 2007
Mailing address903 Crenshaw Blvd Ste 302, Los Angeles, CA 90019-1967

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