Christylcare Medical Group

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

CHRISTYLCARE MEDICAL GROUP

Practice address

3611 Martin Luther King Jr Blvd
Suite 108
Lynwood, CA 90262-2685

Phone

(310) 537-2588

Fax

(310) 537-9456

NPI assigned

Aug 25, 2009

Last updated

Aug 25, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Comfort McClain, MD

Title

Office Manager

Phone

(310) 537-2588

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victor A Oranusi, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1336246065
  NPD (past)
• Bernadeth Chinedum Osuji, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
  • NPI 1508102476
  NPD (past)

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1063645182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 108",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622685",
            "telephone_number": "310-537-2588",
            "fax_number": "310-537-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 108",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622685",
            "telephone_number": "310-537-2588",
            "fax_number": "310-537-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTYLCARE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "COMFORT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-537-2588",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Hee Cho, CRNA
• Cristina Eunsun Cho, PHAMD
• Usha Chopra, M. D.
• Fan-Hsuan Chou
• Christopher Goring MD Inc
• Kelly Claire, DPT
• Clarence M. Hyshaw/Mid-City Ortho & Neuro Supply
• Joshela Clark
• Clinica Familiar San Lucas
• Jessica Joan Colas

• Geriatric Medicine (Internal Medicine) Physician in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Geriatric Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.