Imir Metushi

Primary specialty

Chemistry Pathology Specialist/TechnologistTaxonomy code 246QC1000X

License

DRH-02018469 Issued in CA

Practice address

10833 Le Conte Ave RM 231U
Los Angeles, CA 90095-3075

Phone

(760) 686-6282

NPI assigned

Oct 15, 2021

Last updated

Oct 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1093478125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 FOUNTAIN PARK LN APT 15",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673525",
            "telephone_number": "760-686-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE RM 231U",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953075",
            "telephone_number": "760-686-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METUSHI",
        "first_name": "IMIR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QC1000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Chemistry",
            "state": "CA",
            "license": "DRH-02018469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vemmy Lalitphat Metsutnan, MD
• Erika Metten
• Stephen Wayne. Metting, M.D.
• Allison Metts
• Erica Metu, N.P
• Eman Mahmoud Ali Metwally
• Christina Metz
• Judy Ann Metz, PSYD
• Richard J Metz, MD FACP
• Monica Marie Metzdorf, M.D.

• Pathology Specialist/Technologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pathology Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.