Total Care Medical Clinic Inc

Primary specialty

Legal MedicineTaxonomy code 173000000X

Legal business name

TOTAL CARE MEDICAL CLINIC INC

Practice address

10024 S Vermont Ave
Los Angeles, CA 90044-3112

Phone

(323) 756-1412

Fax

(323) 756-1413

NPI assigned

Mar 9, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Blanca Vasquez, LVN

Title

Administrator

Phone

(323) 756-1412

Specialties & licenses 1

Addresses

Other names 1

• Total Care Medical Clinic Inc Former legal business name

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1104219609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10024 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90044",
            "telephone_number": "323-756-1412",
            "fax_number": "323-756-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443112",
            "telephone_number": "323-756-1412",
            "fax_number": "323-756-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-756-1412",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Care Medical Clinic Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Legal Medicine in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Legal Medicine in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.