Organization Active NPI

Youlom Medical Corporation, Inc.

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1104011733
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
YOULOM MEDICAL CORPORATION, INC.
Practice address
10150 National Blvd
Los Angeles, CA 90034-3805
Phone
(310) 839-5532
Fax
(310) 204-3190
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Dr. Christopher Dotson Jr., M.D., MBA
Title
Medical Director
Phone
(310) 839-5532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

10150 National Blvd
Los Angeles, CA 90034-3805

Mailing address

10150 National Blvd
Los Angeles, CA 90034-3805
Phone (310) 839-5532

Other names 1

  • Eve Surgical Center Doing business as

National Provider Directory

National Provider Directory

Locations

10150 National Blvd
Los Angeles, CA 90034
Phone (310) 839-5532

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1104011733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 NATIONAL BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343805",
            "telephone_number": "310-839-5532",
            "fax_number": "310-204-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 NATIONAL BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343805",
            "telephone_number": "310-839-5532",
            "fax_number": "310-204-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOULOM MEDICAL CORPORATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "DOTSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-839-5532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D., MBA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eve Surgical Center",
            "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 Sep 6, 2007; 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.