Reliant Immediate Care Medical Group, Inc.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

RELIANT IMMEDIATE CARE MEDICAL GROUP, INC.

Practice address

9601 S Sepulveda Blvd
Los Angeles, CA 90045-5203

Phone

(310) 215-6020

Fax

(310) 641-3521

NPI assigned

Jun 12, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Max F Lebow, M.D.NPI 1104868660

Title

Owner

Phone

(310) 215-6020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 7

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.

• Max Franklin Lebow, M.D.

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1104868660
  Medicare reassignment NPD Authorized official
• Gregory Jahangiri, D.O.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Los Angeles, CA
  • NPI 1689854986
  Medicare reassignment NPD
• Lora L. Bofill, MD

  • Family Medicine Physician
  • Richmond, VA
  • NPI 1811029036

  CA

  Medicare reassignment NPD
• Michael Douglas Scott, NP-C

  • Family Nurse Practitioner
  • Cumming, GA
  • NPI 1700141470

  CA

  Medicare reassignment NPD
• Celina Cervantes, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Baldwin Park, CA
  • NPI 1982056669
  NPD (past)
• Kenny Luc, DPT

  • Physical Therapist
  • Covina, CA
  • NPI 1134612674
  NPD (past)
• Daniel Michael Montgomery, PT, DPT

  • Orthopedic Physical Therapist
  • Huntington Park, CA
  • NPI 1386400273
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801838198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 S SEPULVEDA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455203",
            "telephone_number": "310-215-6020",
            "fax_number": "310-641-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 S SEPULVEDA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455203",
            "telephone_number": "310-215-6020",
            "fax_number": "310-641-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT IMMEDIATE CARE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEBOW",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-215-6020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0093640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reliable Medical Associates
• Reliable Medical Supply, LLC
• Reliable Nursing Care Home Health, Inc.
• Reliance Medical Transport, Inc.
• Reliant Immediate Care Medical Group, Inc.
• Reliant Medical Management Inc
• Reliant Medical Management Inc
• Reliant Medical Supplies & Orthotics, Inc.
• Reliatox Laboratories, Inc.
• Robert John Relle, D.D.S.

• Emergency Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.