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

Life Care Medical Clinic a Professional Corporation

Organization Emergency Medicine Physician · NPI 1962797738

Life Care Medical Clinic a Professional Corporation is an Emergency Medicine Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
3

Practice location Address checks out

1211 N Vermont Ave Ste 207
Los Angeles, CA 90029-1748
Phone: (323) 664-4044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence C30424 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence C30424 (CA)
Home Health Agency Taxonomy 251E00000X · Licence C30424 (CA)

Record details

NPI number1962797738
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLife Care Medical Clinic a Professional Corporation
Authorized official John Goff — President · (323) 664-4044
NPI enumeratedJune 9, 2011
Last updated in NPPESJuly 15, 2011
Mailing address1211 N Vermont Ave, Suite 207, Los Angeles, CA 90029-1748

Other providers in Los Angeles