Organization Active NPI

MDM Renewcare Medical Corporation

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1104742733
Registry record updated Jun 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MDM RENEWCARE MEDICAL CORPORATION
Practice address
501 W Olympic Blvd Apt 905
Los Angeles, CA 90015-1451
Phone
(747) 254-2855
NPI assigned
Jun 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2026

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

Authorized official

Name
Dr. Mariam Alaka, MD
Title
Ceo
Phone
(747) 254-2855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

501 W Olympic Blvd Apt 905
Los Angeles, CA 90015-1451

Mailing address

501 W Olympic Blvd Apt 905
Los Angeles, CA 90015-1451
Phone (747) 254-2855

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782518400000",
    "number": "1104742733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W OLYMPIC BLVD APT 905",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151451",
            "telephone_number": "747-254-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W OLYMPIC BLVD APT 905",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151451",
            "telephone_number": "747-254-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDM RENEWCARE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-27",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "ALAKA",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-254-2855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 27, 2026; 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.