Khulood Y. Cotta M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A40215 Issued in CA

Legal business name

KHULOOD Y. COTTA M.D.

Practice address

4946 Florence Ave
Bell, CA 90201-4319

Phone

(323) 773-0591

NPI assigned

Aug 15, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Rosa Martinez

Title

Office Administrator

Phone

(323) 773-0591

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• ST JUDE HEALTH CARE MEDICAL CENTER Other name

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1104018928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4946 FLORENCE AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902014319",
            "telephone_number": "323-773-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4946 FLORENCE AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902014319",
            "telephone_number": "323-773-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHULOOD Y. COTTA M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "323-773-0591",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A40215",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A36591",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0068540",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "GR0068540",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "W13749",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST JUDE HEALTH CARE MEDICAL CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• JWCH Institute, Inc
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• Sarmed Mahmood Kamil, DDS
• Yeji Kang, DDS
• Parisa Khani
• Melissa Andrea Jimenez Lacayo, PA-C
• Lalezarzadeh DDS Corporation
• Farhad Lalezarzadeh, DDS
• Jose Milton Lara, M.D.
• Monica Lara, PA-C

• Family Medicine Physician in Bell, CA
• Providers in Bell, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.