Autumn Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A84718 Issued in CA

Legal business name

AUTUMN MEDICAL CLINIC

Practice address

9200 Colima Rd
Suite 207
Whittier, CA 90605-1814

Phone

(562) 945-0252

Fax

(562) 945-0901

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mehrunisa Mohammedi, M.D.

Title

Ceo

Phone

(562) 945-0252

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1124208087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 COLIMA RD",
            "address_2": "SUITE 207",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051814",
            "telephone_number": "562-945-0252",
            "fax_number": "562-945-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 COLIMA RD",
            "address_2": "SUITE 207",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051814",
            "telephone_number": "562-945-0252",
            "fax_number": "562-945-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "MOHAMMEDI",
        "authorized_official_first_name": "MEHRUNISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-945-0252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A84718",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A25926",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A259260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Whittier, CA
• Providers in Whittier, 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 Nov 8, 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.