Multi Specialty Medical Group Professional Corporation

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MULTI SPECIALTY MEDICAL GROUP PROFESSIONAL CORPORATION

Practice address

1318 E Florence Ave
Los Angeles, CA 90001-1935

Phone

(213) 583-4066

Fax

(213) 554-1387

NPI assigned

Aug 15, 2025

Organization subpart

No

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

Authorized official

Name

Lawrence Mora, MDNPI 1205851615

Title

Medical Director/Owner

Phone

(213) 583-4066

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Multi Specialty Medical Group Professional Corporation2 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.

• Multi Specialty Medical Group Professional Corporation

  • General Practice Physician
  • Bakersfield, CA
  • NPI 1255136040
  NPD tax ID

Practitioners 5

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

• Lawrence A Mora, MD

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1205851615
  Medicare reassignment Care Compare group NPD Authorized official
• Zinovy N Lekht, M.D

  • Neurology Physician
  • Sun Valley, CA
  • NPI 1427093236
  Medicare reassignment Care Compare group NPD
• Sylvia Vanessa Olvera, M.D.

  • Neurology Physician
  • Los Angeles, CA
  • NPI 1679913073
  Medicare reassignment Care Compare group NPD
• Mahmood Bulko Timbo, P.A

  • Medical Physician Assistant
  • Los Angeles, CA
  • NPI 1881736452
  Medicare reassignment Care Compare group NPD
• Chinyere Maria Assumpta Ofoegbu, NP

  • Nurse Practitioner
  • Culver City, CA
  • NPI 1700363918
  Medicare reassignment

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1487530226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 E FLORENCE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900011935",
            "telephone_number": "213-583-4066",
            "fax_number": "213-554-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 E FLORENCE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900011935",
            "telephone_number": "213-583-4066",
            "fax_number": "213-554-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTI SPECIALTY MEDICAL GROUP PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "213-583-4066",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Daniel Mulnick
• Matthew Clinton Mulroy, MD
• Catherine Mulshine, PT, DPT
• Ashrit Multani, M.B.B.S.
• Multi Specialty Healthcare Inc
• Multicare Health Center
• Multicultural Counseling and Empowerment Center, Inc.
• Multispecialty Surgical & Wound Care Traveling Consultants
• Multispecialty Surgical & Wound Care Traveling Consultants
• Selam Tessema Mulugeta

• Multi-Specialty Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.