Active NPI
Noble Physicians Medical Group Corp Inc
- Internal Medicine Physician
- West Hollywood, CA
National Provider Identifier
1730561978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A117709
- Legal business name
- NOBLE PHYSICIANS MEDICAL GROUP CORP INC
- Practice address
- 8737 Beverly Blvd Ste 301
West Hollywood, CA 90048-1839 - Phone
- (323) 765-1500
- Fax
- (310) 363-7046
- NPI assigned
- Jun 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Benjamin Lalezari, MD
- Title
- President
- Phone
- (818) 430-4000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A117709 | CA | Primary |
Addresses
Primary practice location
8737 Beverly Blvd Ste 301
West Hollywood, CA 90048-1839
Mailing address
PO Box 251247
Los Angeles, CA 90025-9747
Phone (323) 938-9999
Other practice location 1
5901 W Olympic Blvd Ste 404
Los Angeles, CA 90036-4669
Phone (323) 938-9999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A117709 | Other | CA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5901 Wilshire Blvd Ste 404
Los Angeles, CA 90036
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- West Hollywood, CA
- NPI 1093094427
-
- Internal Medicine Physician
- Beverly Hills, CA
- NPI 1881829661
-
- Nurse Practitioner
- Inglewood, CA
- NPI 1871000802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736380800000",
"number": "1730561978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 251247",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900259747",
"telephone_number": "323-938-9999",
"fax_number": "323-456-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8737 BEVERLY BLVD STE 301",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900481839",
"telephone_number": "323-765-1500",
"fax_number": "310-363-7046"
}
],
"practiceLocations": [
{
"address_1": "5901 W Olympic Blvd Ste 404",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900364669",
"country_code": "US",
"telephone_number": "323-938-9999",
"fax_number": "323-456-0880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NOBLE PHYSICIANS MEDICAL GROUP CORP INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-24",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A",
"authorized_official_last_name": "LALEZARI",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "BENJAMIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-430-4000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A117709",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "A117709",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.