| Locklab Provider Group Ca, P.c. | |
|
5250 Lankershim Blvd Ste 500 North Hollywood CA 91601-3187 | |
| (305) 425-9125 | |
| Not Available |
| Full Name | Locklab Provider Group Ca, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 5250 Lankershim Blvd Ste 500, North Hollywood, California |
| Authorized Official Name and Position | Bobby Desai (PRESIDENT) |
| Authorized Official Contact | 3054259125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Locklab Provider Group Ca, P.c. 5250 Lankershim Blvd Ste 500 North Hollywood CA 91601-3187 Ph: (305) 425-9125 | Locklab Provider Group Ca, P.c. 5250 Lankershim Blvd Ste 500 North Hollywood CA 91601-3187 Ph: (305) 425-9125 |
| NPI Number | 1225995194 |
|---|---|
| Provider Enumeration Date | 01/05/2026 |
| Last Update Date | 01/05/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225995194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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