La County King Drew Medical Center

Primary specialty

Women's HospitalTaxonomy code 282NW0100X

Legal business name

LA COUNTY KING DREW MEDICAL CENTER

Practice address

12021 Wilmington Ave
Los Angeles, CA 90059-3019

Phone

(310) 668-4611

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Robabeh Akhavan Azari

Title

CNM

Phone

(310) 668-4611

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1093850752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10142 BIRCHWOOD DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926465433",
            "telephone_number": "714-968-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 WILMINGTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900593019",
            "telephone_number": "310-668-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA COUNTY KING DREW MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "AZARI",
        "authorized_official_first_name": "ROBABEH",
        "authorized_official_middle_name": "AKHAVAN",
        "authorized_official_title_or_position": "CNM",
        "authorized_official_telephone_number": "310-668-4611",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NW0100X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Women",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "273373",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACNM CERTIFICATION NUMBER",
            "identifier": "03045",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE-MIDWIFE",
            "identifier": "163",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER NUMBER",
            "identifier": "1723",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE-MIDWIFE FURNISHING",
            "identifier": "163",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• La Corf Services Inc
• Mia De Nae La Coste, MFT
• La County
• La County Department of Mental Health
• La County Department of Mental Health
• La County Probation Department Medical Division Pharmacy
• La County Probation Dept.
• La Dell Dental Corporation
• La Digestive Health and Wellness, Inc
• La Downtown Medical Center, Inc.

• General Acute Care Hospital in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.