Noho Medical Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G29345 Issued in CA

Legal business name

NOHO MEDICAL GROUP INC

Practice address

11490 Burbank Blvd Ste 1C
North Hollywood, CA 91601-2391

Phone

(818) 509-0545

Fax

(818) 863-1812

NPI assigned

Feb 2, 2010

Organization subpart

No

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

Authorized official

Name

Howard Pfupajena

Title

President

Phone

(818) 509-0545

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1124350129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11490 BURBANK BLVD STE 1C",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012391",
            "telephone_number": "818-509-0545",
            "fax_number": "818-863-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11490 BURBANK BLVD STE 1C",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012391",
            "telephone_number": "818-509-0545",
            "fax_number": "818-863-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOHO MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "PFUPAJENA",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-509-0545"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G29345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noho Health Center Corp.
• Noho Home Health Care, Inc.
• Noho Hospice Care Inc
• Noho Hospice, Inc.
• Noho Medical Center Inc
• Noho Medical Pharmacy Inc
• Noho Medical Supply Inc
• Noho Medical Supply Inc.
• Noho Medical, Inc.
• Noho West Medical Group, Inc.

• Specialist in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.