NPIMap

Organization Active NPI

West Coast Toxicology Management

  • Clinical Medical Laboratory
  • Simi Valley, CA
National Provider Identifier
1063752343
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
WEST COAST TOXICOLOGY MANAGEMENT
Practice address
980 Enchanted Way Ste 211
Simi Valley, CA 93065-0914
Phone
(805) 416-1648
Fax
(805) 823-6519
NPI assigned
Feb 22, 2013
Last updated
Feb 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Authorized official

Name
Waheed Abrahm
Title
Owner
Phone
(805) 416-1648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

980 Enchanted Way Ste 211
Simi Valley, CA 93065-0914

Mailing address

PO Box 50340
Irvine, CA 92619-0340
Phone (805) 416-1648

National Provider Directory

National Provider Directory
Tax ID family
Hana Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1063752343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50340",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926190340",
            "telephone_number": "805-416-1648",
            "fax_number": "805-823-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 ENCHANTED WAY STE 211",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930650914",
            "telephone_number": "805-416-1648",
            "fax_number": "805-823-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST TOXICOLOGY MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "ABRAHM",
        "authorized_official_first_name": "WAHEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-416-1648"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.