Provider Demographics
NPI:1306113360
Name:LEWIS, JOSHUA FACTOR (MD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:FACTOR
Last Name:LEWIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:321 S WILLAMAN DR APT 207
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-3341
Mailing Address - Country:US
Mailing Address - Phone:626-862-1333
Mailing Address - Fax:
Practice Address - Street 1:8733 BEVERLY BLVD STE 408B
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1842
Practice Address - Country:US
Practice Address - Phone:310-295-2255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-18
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA127535207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine