Platinum Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PLATINUM MEDICAL GROUP

Practice address

21520 Pioneer Blvd Ste 203
Hawaiian Gardens, CA 90716-2601

Phone

(562) 402-2818

Fax

(562) 402-2545

NPI assigned

Feb 1, 2010

Organization subpart

No

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

Authorized official

Name

Paul Randall

Title

President

Phone

(562) 402-2818

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1083946180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27762 ANTONIO PKWY STE L1-433",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926941140",
            "telephone_number": "562-402-2818",
            "fax_number": "562-402-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21520 PIONEER BLVD STE 203",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907162601",
            "telephone_number": "562-402-2818",
            "fax_number": "562-402-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-402-2818"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isamarc Perez, PPSC
• Nancy Perez
• Christine Michelle Periman, LAADC- CA, CATC IV
• Sonita Persaud, M.S., CCC-SLP
• Fengji Piao
• Platinum Medical Group, Inc.
• Platinum Medical Management, Inc.
• Prime Link Medical Specialty Group Inc.
• Prohealth Partners a Medical Group Inc
• June Puthasombat, MSW

• Specialist in Hawaiian Gardens, CA
• Providers in Hawaiian Gardens, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.