Active NPI
Arthur Ashe Student Health and Wellness Center
- Student Health Clinic/Center
- Los Angeles, CA
National Provider Identifier
1033243753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student Health Clinic/Center
- License
- 380579
- Legal business name
- ARTHUR ASHE STUDENT HEALTH AND WELLNESS CENTER
- Practice address
- 221 West Wood Plaza
Los Angeles, CA 90024-1703 - Phone
- (310) 794-7283
- Fax
- (310) 267-1996
- NPI assigned
- Mar 15, 2007
- Last updated
- Jul 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sam Brown
- Title
- Hiipa Coordinator
- Phone
- (310) 206-6356
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student Health Clinic/Center | 261QS1000X | 380579 | CA | Primary |
Addresses
Primary practice location
221 West Wood Plaza
Los Angeles, CA 90024-1703
Mailing address
Box 951703
Los Angeles, CA 90024-1703
Phone (310) 794-7283
Other names 1
- UCLA Student Health
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216339200000",
"number": "1033243753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 951703",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900241703",
"telephone_number": "310-794-7283",
"fax_number": "310-267-1996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 WEST WOOD PLAZA",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900241703",
"telephone_number": "310-794-7283",
"fax_number": "310-267-1996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARTHUR ASHE STUDENT HEALTH AND WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2008-07-18",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "HIIPA COORDINATOR",
"authorized_official_telephone_number": "310-206-6356",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QS1000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Student Health",
"state": "CA",
"license": "380579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "UCLA Student Health",
"code": "5",
"type": "Other Name"
}
]
}
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- Arthur Leslie Stein MD a Medical Corporation
- Arthur Rosenbaum MD Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.