Organization Active NPI

Larissa Kalife MD

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1689285736
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LARISSA KALIFE MD
Practice address
1125 S Beverly Dr Ste 720
Los Angeles, CA 90035-1180
Phone
(424) 421-6001
Fax
(818) 239-4239
NPI assigned
Aug 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Authorized official

Name
Jackie Hernandez
Title
Administrator/Biller
Phone
(424) 421-6001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1125 S Beverly Dr Ste 720
Los Angeles, CA 90035-1180

Mailing address

1125 S Beverly Dr Ste 720
Los Angeles, CA 90035-1180
Phone (424) 421-6001

National Provider Directory

National Provider Directory

Locations

1125 S Beverly Dr
Ste 720
Los Angeles, CA 90035
Phone (410) 929-9790

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": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1689285736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR STE 720",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351180",
            "telephone_number": "424-421-6001",
            "fax_number": "818-239-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR STE 720",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351180",
            "telephone_number": "424-421-6001",
            "fax_number": "818-239-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARISSA KALIFE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "ADMINISTRATOR/BILLER",
        "authorized_official_telephone_number": "424-421-6001"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE 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 Aug 12, 2020; 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.