Organization Active NPI

Care League Medical Group Inc

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1508625948
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CARE LEAGUE MEDICAL GROUP INC
Practice address
12130 Millennium Ste 300
Los Angeles, CA 90094-3156
Phone
(213) 341-0059
NPI assigned
Mar 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Ijagha Eme, MD
Title
Owner
Phone
(310) 404-8502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

12130 Millennium Ste 300
Los Angeles, CA 90094-3156

Mailing address

12130 Millennium Ste 300
Los Angeles, CA 90094-3156
Phone (213) 341-0059

National Provider Directory

National Provider Directory

Locations

12130 Millennium
Ste 300
Playa Vista, CA 90094
Phone (213) 341-0059

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1508625948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12130 MILLENNIUM STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900943156",
            "telephone_number": "213-341-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12130 MILLENNIUM STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900943156",
            "telephone_number": "213-341-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE LEAGUE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "EME",
        "authorized_official_first_name": "IJAGHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-404-8502",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.