Life Medical Center Inc.

Primary specialty

Legal Medicine (M.D./D.O.) PhysicianTaxonomy code 209800000X

License

20A7325 Issued in CA

Legal business name

LIFE MEDICAL CENTER INC.

Practice address

653 E E St
Suite 108
Ontario, CA 91764-4257

Phone

(909) 395-9888

NPI assigned

Sep 12, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Khai Quang Tran, D.O.

Title

Doctor

Phone

(909) 395-9888

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lan Kim Lam, PA-C

  • Physician Assistant
  • Ontario, CA
  • NPI 1023211612
  NPD (past)
• Mahtab Uddin Ahmed, MD

  • Obesity Medicine (Family Medicine) Physician
  • Davenport, IA
  • NPI 1891755021
  NPD (past)
• Jennifer A Schweitzer-Ahmed, M.D.

  • Family Medicine Physician
  • Fayette, OH
  • NPI 1972563104
  NPD (past)

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1184906547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 E E ST",
            "address_2": "SUITE 108",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644257",
            "telephone_number": "909-395-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 E E ST",
            "address_2": "SUITE 108",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644257",
            "telephone_number": "909-395-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "KHAI",
        "authorized_official_middle_name": "QUANG",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "909-395-9888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "209800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "20A7325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chenyu Liang
• Raymund Rigor Libang, RCP
• Benicia Lie, BCBA
• Catareya P Liep, MD
• Life Care Medical Center, Inc.
• Tahnee Lilly
• Katherine Lily
• Alexis Sara Lim
• Alyssah Lim
• Charmaine Lim, OT

• Legal Medicine (M.D./D.O.) Physician in Ontario, CA
• Providers in Ontario, CA by specialty
• Legal Medicine (M.D./D.O.) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.