Organization Active NPI

Mens Health Center of America WDC LLC

  • Specialist
  • Washington, DC
National Provider Identifier
1003347485
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00041583 Issued in DC
Legal business name
MENS HEALTH CENTER OF AMERICA WDC LLC
Practice address
1100 H St NW
650
Washington, DC 20005-5476
Phone
(202) 419-1840
Fax
(202) 419-1842
NPI assigned
Mar 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Tom L Le, MD
Title
Member
Phone
(615) 562-4048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD00041583 DC Primary

Addresses

Primary practice location

1100 H St NW
650
Washington, DC 20005-5476

Mailing address

23275 S Pointe Dr
100
Laguna Hills, CA 92653-1474
Phone (949) 200-6612

National Provider Directory

National Provider Directory

Locations

1100 H St NW
Ste 650
Washington, DC 20005
Phone (202) 419-1840

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1003347485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23275 S POINTE DR",
            "address_2": "100",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531474",
            "telephone_number": "949-200-6612",
            "fax_number": "949-258-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 H ST NW",
            "address_2": "650",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200055476",
            "telephone_number": "202-419-1840",
            "fax_number": "202-419-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENS HEALTH CENTER OF AMERICA WDC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "615-562-4048",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "DC",
            "license": "MD00041583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.