Larchmont Medical Center and Urgent Care PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A10630 Issued in CA

Legal business name

LARCHMONT MEDICAL CENTER AND URGENT CARE PC

Practice address

321 N Larchmont Blvd Ste 404
Los Angeles, CA 90004-6404

Phone

(818) 850-5667

Fax

(818) 839-2303

NPI assigned

Dec 11, 2017

Organization subpart

No

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

Authorized official

Name

Antonio Zamorano, D.O.

Title

Ceo

Phone

(818) 850-5667

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1053826263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE STE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052866",
            "telephone_number": "818-850-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N LARCHMONT BLVD STE 404",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900046404",
            "telephone_number": "818-850-5667",
            "fax_number": "818-839-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARCHMONT MEDICAL CENTER AND URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "ZAMORANO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-850-5667",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A10630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSTEOPATHIC MEDICAL LICENCE",
            "identifier": "20A10630",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1043482060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noah Laracy
• Laray Marriage and Family Therapy
• Larchmont Charter School
• Larchmont Diagnostic Laboratories, Inc.
• Larchmont Family Dentists - Kezian Dental Group
• Larchmont Medical Radiology Inc.
• Larchmont Optometrics, Inc
• Larchmont Pediatrics, Inc.
• Larchmont Radiology
• Larchmont Surgery Center, LLC

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.