LTC Physicians, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LTC PHYSICIANS, LLC

Practice address

29830 Wisteria Valley Rd
Santa Clarita, CA 91387-1954

Phone

(818) 667-6488

NPI assigned

Sep 12, 2022

Organization subpart

No

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

Authorized official

Name

Mark Gobrial, MD

Title

President

Phone

(818) 667-6488

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1457073983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8834 RESEDA BLVD # 2052",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29830 WISTERIA VALLEY RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913871954",
            "telephone_number": "818-667-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "GOBRIAL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-667-6488",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY PRACTICE",
            "identifier": "20A15290",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL MEDICINE",
            "identifier": "A148741",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Los Angeles County Department of Mental Health
• Robert Louie, PT, DPT, OCS
• Ashley Paige Love-Tamas
• Debra Kristine Love
• Kristy J Lowery, M.A., CCC-A
• Nicolle Lu Podesta
• Liyan Lu, ACUPUNCTURIST
• Kayla Nicole Lucas
• Marianne Rivera Lucila, RN
• Meltem Ashley Luehrs, MFT INTERN

• Internal Medicine Physician in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.