Lwbba Grissell Chait Llamas MD Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A138938 Issued in CA

Legal business name

LWBBA GRISSELL CHAIT LLAMAS MD INC

Practice address

751 W Legion Rd
Suite 103
Brawley, CA 92227-7732

Phone

(760) 351-4100

Fax

(760) 351-4101

NPI assigned

Feb 8, 2017

Organization subpart

No

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

Authorized official

Name

Lwbba Grissell Chait Llamas, MD

Title

Owner

Phone

(760) 351-3333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1073051223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 W LEGION RD",
            "address_2": "SUITE 103",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277732",
            "telephone_number": "760-351-4100",
            "fax_number": "760-351-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LWBBA GRISSELL CHAIT LLAMAS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "CHAIT LLAMAS",
        "authorized_official_first_name": "LWBBA",
        "authorized_official_middle_name": "GRISSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-351-3333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A138938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Brawley, CA
• Providers in Brawley, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.