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

Los Angeles Renaissance Project

Organization General Practice Physician · NPI 1477255222

Los Angeles Renaissance Project is a General Practice Physician in Long Beach, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
5
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1216 W Maddox St
Long Beach, CA 90810-2241
Phone: (562) 578-9290
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477255222
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marchael Gordon — Ceo/Founder · (562) 578-9290
Other names L.A.R.P; L.A.R.P
NPI enumeratedMarch 17, 2023
Last updated in NPPESMay 20, 2023
Certification dateMay 20, 2023
Mailing address1216 W Maddox St, Long Beach, CA 90810-2241

Other providers in Long Beach