Id Med

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

A118780 Issued in CA

Legal business name

ID MED

Practice address

23430 Hawthorne Blvd Ste 200
Torrance, CA 90505-4730

Phone

(310) 784-5880

Fax

(310) 325-3117

NPI assigned

Feb 15, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Lubliner

Title

Administrator

Phone

(310) 784-5880

Specialties & licenses 1

Addresses

Tax ID family

HCP Ipa - South Bay2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Id Med a Medical Corporation

  • Specialist
  • Torrance, CA
  • NPI 1982635637
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1154780559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23430 HAWTHORNE BLVD STE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054730",
            "telephone_number": "310-784-5880",
            "fax_number": "310-325-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23430 HAWTHORNE BLVD STE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054730",
            "telephone_number": "310-784-5880",
            "fax_number": "310-325-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ID MED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "LUBLINER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-784-5880"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A118780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haydar Ibrahim
• Jacquleen A Ibrahim
• Michael Ibrahim, MD
• Icare California House Call Practice LLC
• Kayla Ichiba, AU.D.
• Id Med a Medical Corporation
• Alan K Igasaki, DDS
• Cory David Igasaki, DDS
• Howard Igasaki, DDS
• Eric Brian Ige, O.D.

• Infectious Disease Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.