L Khadijah Lang (NPI# 1023235926, PAC ID# 3476467838) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1023235926 |
| PAC ID by PECOS | 3476467838 |
| Professional Enrollment ID | I20031118001188 |
| Full Name | L Khadijah Lang |
| Address |
4361 S Western Ave Los Angeles CA 90062-1651 |
| Phone Number | 3232923900 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050149 | CALIFORNIA HOSPITAL MEDICAL CENTER LA |
| Address | Phone | Organization |
|---|---|---|
| 4361 S Western Ave, Los Angeles, CA 90062-1651 | 3232923900 |
| Street Address |
4361 S WESTERN AVE |
| City | LOS ANGELES |
| State | CA |
| Zip | 90062-1651 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel C Manilay | Physician Assistant | Vital Health Medical Group Inc | 1972 W 48th St, B, Los Angeles, CA 90062-2103 |
| Natasha L Wright | Physician Assistant | Vital Health Medical Group Inc | 1972 W 48th St, Los Angeles, CA 90062-2103 |
| City | LOS ANGELES |
| Zip Code | 90062 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LOS ANGELES + FAMILY MEDICINE |
Please comment or provide details below to improve the information on L Khadijah Lang.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.