Active NPI
Hollywood Heart and Vascular Group, a Medical Corporation
- Cardiovascular Disease Physician
- Los Angeles, CA
National Provider Identifier
1083758148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A34051
- Legal business name
- HOLLYWOOD HEART AND VASCULAR GROUP, A MEDICAL CORPORATION
- Practice address
- 1300 N Vermont Ave
# 806
Los Angeles, CA 90027-6005 - Phone
- (323) 644-9500
- NPI assigned
- Feb 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Don W Lee, M.D.
- Title
- President,Owner
- Phone
- (818) 247-9747
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A34051 | CA | Primary |
Addresses
Primary practice location
1300 N Vermont Ave
# 806
Los Angeles, CA 90027-6005
Mailing address
1510 S Central Ave
Suite 150
Glendale, CA 91204-2500
Phone (818) 247-9747
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- Glendale, CA
- NPI 1104806421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083758148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 S CENTRAL AVE",
"address_2": "SUITE 150",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042500",
"telephone_number": "818-247-9747",
"fax_number": "818-956-8162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N VERMONT AVE",
"address_2": "# 806",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276005",
"telephone_number": "323-644-9500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLLYWOOD HEART AND VASCULAR GROUP, A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "DON",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT,OWNER",
"authorized_official_telephone_number": "818-247-9747",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A34051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Hollywood Family Therapy, Inc
- Hollywood Hands Rehabilitation Inc
- Hollywood Health Center
- Hollywood Health Physical Therapy
- Hollywood Healthcare & Diagnostic Imaging
- Hollywood Home Health Care, Inc
- Hollywood Home Health Services Inc
- Hollywood Hospitalist Medical Group, Inc.
- Hollywood Imaging&Diagnostic.Inc
- Hollywood Internal Medicine Clinic Inc
Sources for this page
- 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.