Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Haven Health Group Los Angeles PC

Organization Family Medicine Physician · NPI 1811861461

Haven Health Group Los Angeles PC provides Family Medicine Physician services in Los Angeles, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6221 Wilshire Blvd Ste 216
Los Angeles, CA 90048-5226
Phone: (213) 415-2214
Fax: (213) 816-6334
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1811861461
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mike Piscadlo — Ceo · (213) 415-2214
NPI enumeratedOctober 6, 2025
Last updated in NPPESOctober 6, 2025
Certification dateOctober 5, 2025
Mailing address6221 Wilshire Blvd Ste 216, Los Angeles, CA 90048-5226

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