NPIMap

Organization Active NPI

Brokhim, LLC

  • Custodial Care Facility
  • Los Angeles, CA
National Provider Identifier
1073767273
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
197607392 Issued in CA
Legal business name
BROKHIM, LLC
Practice address
1015 S Orange Grove Ave
Los Angeles, CA 90019-6510
Phone
(323) 933-8271
Fax
(323) 933-8273
NPI assigned
Nov 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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

Authorized official

Name
Ms. Michelle Brokhim
Title
Owner
Phone
(323) 933-8271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 197607392 CA Primary

Addresses

Primary practice location

1015 S Orange Grove Ave
Los Angeles, CA 90019-6510

Mailing address

1015 S Orange Grove Ave
Los Angeles, CA 90019-6510
Phone (323) 933-8271

Other names 1

  • Wilshire Vista Manor Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1073767273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S ORANGE GROVE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196510",
            "telephone_number": "323-933-8271",
            "fax_number": "323-933-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S ORANGE GROVE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196510",
            "telephone_number": "323-933-8271",
            "fax_number": "323-933-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROKHIM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "BROKHIM",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-933-8271",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "CA",
            "license": "197607392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilshire Vista Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.