Ivor H. Harewood, M.D, Facs AMC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G23311 Issued in CA

Legal business name

IVOR H. HAREWOOD, M.D, FACS AMC

Doing business as

Regent Specialists Medical Clinic

Practice address

3701 Stocker St
Suite 100
Los Angeles, CA 90008-5108

Phone

(323) 296-6942

Fax

(323) 299-1651

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ivor H. Harewood, M.D.

Title

President

Phone

(323) 296-6942

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Regent Specialists Medical Clinic Doing business as

Locations

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073729497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8387",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900080387",
            "telephone_number": "323-296-6942",
            "fax_number": "323-299-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 STOCKER ST",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900085108",
            "telephone_number": "323-296-6942",
            "fax_number": "323-299-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVOR H. HAREWOOD, M.D, FACS AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAREWOOD",
        "authorized_official_first_name": "IVOR",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-296-6942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G23311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G233110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regent Specialists Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosia Ivey, M.A., L.E.P., ACAS
• Selena Patrice Ivey, RKT
• Standra Newburn Ivey
• Christopher Daniel Ivie, PHARM.D.
• Richard William Ivler, PEER SUPPORT SPECIAL
• Ivor L. Geft, M.D. a Professional Corp
• Armand Ivory
• Brittany Justine Ivory, MD, MPH
• Norman P Ivory
• Billie Faye Ivra, PH.D

• Primary Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.