Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Columbia Medical Group, Inc

Organization Family Medicine Physician · NPI 1336365576

Columbia Medical Group, Inc provides Family Medicine Physician services in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1211 N Vermont Ave Ste 205
Los Angeles, CA 90029-1748 Not confirmed with CMS for 18 years — call before visiting
Phone: (323) 664-4114
Fax: (323) 664-4144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G36895 (CA)
General Practice Physician Taxonomy 208D00000X · Licence G36895 (CA)

Record details

NPI number1336365576
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hovik Simityan — Office Manager · (323) 664-4114
NPI enumeratedApril 17, 2007
Last updated in NPPESMarch 12, 2008
Mailing address1211 N Vermont Ave, Suite 205, Los Angeles, CA 90029-1748

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