James Jaber MD a Medical Corporation

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

JAMES JABER MD A MEDICAL CORPORATION

Practice address

850 S Atlantic Blvd Ste 305
Monterey Park, CA 91754-6714

Phone

(310) 514-2640

Fax

(310) 935-3369

NPI assigned

Jan 10, 2019

Organization subpart

No

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

Authorized official

Name

James J Jaber, MD

Title

Owner / Physician

Phone

(310) 514-2640

Specialties & licenses 1

Addresses

Other names 1

• Southern CA Head & Neck Surgery Other name

Locations

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1003389107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 S GRAND AVE APT 807",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152783",
            "telephone_number": "310-514-2640",
            "fax_number": "310-935-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S ATLANTIC BLVD STE 305",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546714",
            "telephone_number": "310-514-2640",
            "fax_number": "310-935-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES JABER MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "JABER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "310-514-2640",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern CA Head & Neck Surgery",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Southern CA Head & Neck Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Otolaryngology Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.