Organization Active NPI

Franck Juste Medical PC

  • Urgent Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1104468008
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
FRANCK JUSTE MEDICAL PC
Practice address
12212 W Washington Blvd
Los Angeles, CA 90066-5508
Phone
(310) 391-5241
NPI assigned
Oct 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Authorized official

Name
Montgomery Coleman
Title
Secretary
Phone
(310) 804-8393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

12212 W Washington Blvd
Los Angeles, CA 90066-5508

Mailing address

12212 W Washington Blvd
Los Angeles, CA 90066-5508
Phone (310) 391-5241

Other names 1

  • Bluedoor Doing business as

National Provider Directory

National Provider Directory

Locations

12212 W Washington Blvd
Los Angeles, CA 90066
Phone (310) 391-5241

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1104468008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12212 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665508",
            "telephone_number": "310-391-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12212 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665508",
            "telephone_number": "310-391-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCK JUSTE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "MONTGOMERY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "310-804-8393"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluedoor",
            "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 May 15, 2020; 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.