Organization Active NPI

Los Angeles Lung Center a Professional Medical Corp

  • Pulmonary Disease Physician
  • Los Angeles, CA
National Provider Identifier
1790815082
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
20A7450 Issued in CA
Legal business name
LOS ANGELES LUNG CENTER A PROFESSIONAL MEDICAL CORP
Practice address
1300 N Vermont Ave Ste 902
Los Angeles, CA 90027-6094
Phone
(323) 913-9130
Fax
(323) 913-9140
NPI assigned
Mar 6, 2007
Last updated
Aug 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Dr. Babak Bob Abrishami, D.O.NPI 1972553576
Title
President
Phone
(323) 913-9130

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)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 20A7450 CA Primary

Addresses

Primary practice location

1300 N Vermont Ave Ste 902
Los Angeles, CA 90027-6094

Mailing address

PO Box 480481
Los Angeles, CA 90048-1481
Phone (323) 913-9130

Other practice location 1

933 Centinela Ave Ste A
Inglewood, CA 90302-1501
Phone (323) 913-9130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070730000432 CA Part B Supplier - Clinic/Group Practice 0648371021 Receives reassigned benefits from 3 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

933 Centinela Ave
Ste A
Inglewood, CA 90302
Phone (310) 919-7755

1300 N Vermont Ave
Ste 902
Los Angeles, CA 90027
Phone (213) 628-3592

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1790815082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480481",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900481481",
            "telephone_number": "323-913-9130",
            "fax_number": "213-977-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE STE 902",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276094",
            "telephone_number": "323-913-9130",
            "fax_number": "323-913-9140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "933 Centinela Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Inglewood",
            "state": "CA",
            "postal_code": "903021501",
            "country_code": "US",
            "telephone_number": "323-913-9130",
            "fax_number": "323-913-9140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOS ANGELES LUNG CENTER A PROFESSIONAL MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "ABRISHAMI",
        "authorized_official_first_name": "BABAK",
        "authorized_official_middle_name": "BOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-913-9130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "20A7450",
            "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 5, 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.