Fannies Daughters Medical PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

A45867 Issued in CA

Legal business name

FANNIES DAUGHTERS MEDICAL PC

Practice address

3650 W Martin Luther King Jr Blvd
185
Los Angeles, CA 90008-1700

Phone

(323) 294-4266

NPI assigned

Jun 24, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Vanessa McKenzie

Title

Owner

Phone

(901) 412-4345

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1023490216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 DON DIABLO DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900084309",
            "telephone_number": "901-412-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 W MARTIN LUTHER KING JR BLVD",
            "address_2": "185",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900081700",
            "telephone_number": "323-294-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANNIES DAUGHTERS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-412-4345",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A45867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Fang, PHARM.D.
• Wei Fang
• Yiyang Fang
• Zhuang-Ting Fang, MD
• Charles Fann
• Barbara Ellen Fannin, PHD
• Kush Mukesh Fansiwala, MD
• John Patrick Fantauzzi, M.D.
• Ramona Emily Fantino
• Andrea Fanton, MS, SLP

• Urgent Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.