Medidashboard LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MEDIDASHBOARD LLC

Practice address

916 N Mariposa Ave Apt 22
Los Angeles, CA 90029-3462

Phone

(323) 708-8088

NPI assigned

Nov 24, 2014

Organization subpart

No

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

Authorized official

Name

Grant A. Chorliyan

Title

Owner

Phone

(323) 708-8088

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1124425863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 N MARIPOSA AVE APT 22",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900293462",
            "telephone_number": "323-708-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 N MARIPOSA AVE APT 22",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900293462",
            "telephone_number": "323-708-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIDASHBOARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "CHORLIYAN",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-708-8088"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.