Lifeline Health Integrated

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LIFELINE HEALTH INTEGRATED

Practice address

788 Bridle CT
San Dimas, CA 91773-1714

Phone

(626) 297-9245

NPI assigned

Feb 20, 2023

Organization subpart

No

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

Authorized official

Name

Victor Pekson Jr.

Title

Ceo

Phone

(626) 297-3245

Specialties & licenses 1

Addresses

Other names 1

• AJVP PARTNERS, INC. Other name

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1285332122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 BRIDLE CT",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 BRIDLE CT",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731714",
            "telephone_number": "626-297-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE HEALTH INTEGRATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "PEKSON",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-297-3245",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AJVP PARTNERS, INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Katie K Lim
• Tracy Lin, DO
• Karla Linares Nunez, MD
• Micah Linog

• General Practice Physician in San Dimas, CA
• Providers in San Dimas, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.