CARLO MEDINA MEDICAL CORPORATION – NPI #1477273340
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CARLO MEDINA MEDICAL CORPORATION is a provider located in MARINA DEL REY, CA. NPPES has assigned the NPI number 1477273340 to CARLO MEDINA MEDICAL CORPORATION on August 31, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was last updated on Jun 18, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARLO MEDINA MEDICAL CORPORATION below.

NPI Profile for
CARLO MEDINA MEDICAL CORPORATION

NPI Number
1477273340
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CARLO MEDINA MEDICAL CORPORATION
Primary location
4560 ADMIRALTY WAY STE 201
MARINA DEL REY, CA 90292-5425
Phone: (310) 823-3443 Fax: (310) 305-7470
1 Other location(s):
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone: (310) 423-3277
Mailing address
1626 MONTANA AVE # 631
SANTA MONICA, CA 90403-1808
Phone: (310) 893-0827 Fax:
Organization Subpart
No
Authorized Official
CARLO MEDINA
PRESIDENT
Phone: (917) 312-6385
Updated
Certification Date
Jun 18, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CARLO MEDINA MEDICAL CORPORATION

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherUPONCAH76953
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
EMAIL
Content Type
OTHER
Affiliation
N
Endpoint Location
8700 BEVERLY BLVD,
WEST HOLLYWOOD, CA 77025-1669