Dr. Laura Nicole Pruitt

M.D. | Pediatric Emergency Medicine | Female

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Complete Profile:

Dr. Laura Nicole Pruitt basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	Dr. Laura Nicole Pruitt
Credential :	M.D.
Gender :	Female

Business Address:

Dr. Laura Nicole Pruitt address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	4650 W Sunset Blvd Los Angeles, CA, 90027-6062 United States
Phone Number :	323-660-2450

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1194169953
NPI Entity Type :	Individual
First Enrolment Date :	24 Apr, 2013
Last Updated On :	27 Jul, 2018

Medicare Participation:

Dr. Laura Nicole Pruitt participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3971810607
Medicare Enrollment ID :	I20180828000782
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2013
Accepts Medicare?	Yes. Dr. Laura Nicole Pruitt accepts medicare insurance.

Group Practice Association:

Dr. Laura Nicole Pruitt is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Laura Nicole Pruitt is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Faculty Physicians And Surgeons Of Llusm	1153227814	1049	11234 Anderson St Loma Linda, CA - 923542804	Yes
Faculty Physicians And Surgeons Of Llusm	1153227814	1049	11370 Anderson St Loma Linda, CA - 923543450	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Laura Nicole Pruitt are as mentioned. Primary taxonomy code for Dr. Laura Nicole Pruitt, M.D. is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
390200000X	Student in an Organized Health Care Education/Training Program	No
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	A135583	CA

Other Practice Locations:

Practice Address	City, State	Phone Number
505 S MAIN ST, SUITE 525 ORANGE, CA, 92868-4509 United States	ORANGE, CA	714-456-5631

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	3701 Wilshire Blvd Ste 600 Los Angeles, CA, 90010-2814 United States
Phone Number :	323-361-3550
Fax Number :	323-361-8052

Business Location:

Patients can refer following map for directions to Dr. Laura Nicole Pruitt practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.