Florence Medical Center

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A56354 Issued in CA

Legal business name

FLORENCE MEDICAL CENTER

Practice address

1557 E Florence Ave
Los Angeles, CA 90001-2551

Phone

(323) 584-1490

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nagy Khalil, M.D.NPI 1598784811

Title

Owner

Phone

(323) 584-1490

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nagy Khalil, M.D.

  • Pediatrics Physician
  • Los Angeles, CA
  • NPI 1598784811

  CA, Pediatrics

  Medicare reassignment Care Compare group NPD Authorized official
• Ragaie Hakim, M.D

  • Pediatrics Physician
  • Los Angeles, CA
  • NPI 1104952084

  CA, Pediatrics

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013932979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 E FLORENCE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900012551",
            "telephone_number": "323-584-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 E FLORENCE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900012551",
            "telephone_number": "323-584-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "NAGY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-584-1490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A56258",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A56354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Susan Flood
• Annette Baerbel Erika Florczak, M.A.
• Dena Lofthus Florczyk, M.D.
• Florence B. Ademola
• Florence Dialysis Center
• Florence Medical Supply Inc
• Florence Western Medical Clinic Inc
• Paris Florence, AU.D.
• Timothy Joseph Florence, MD PHD
• Ventura Florencio

• Pediatrics Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.