La Paz Medical Clinic, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A39992 Issued in CA

Legal business name

LA PAZ MEDICAL CLINIC, INC

Practice address

1345 Huntington Dr
Duarte, CA 91010-2527

Phone

(626) 359-8604

NPI assigned

Aug 29, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Richard Berton Mantell, MD

Title

Owner

Phone

(626) 359-8604

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruben Castaneda, PA-C

  • Physician Assistant
  • Duarte, CA
  • NPI 1285837633
  NPD
• Karen Patricia Martinez, PA-C

  • Medical Physician Assistant
  • Duarte, CA
  • NPI 1790915882
  NPD

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1124452875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 HUNTINGTON DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102527",
            "telephone_number": "626-359-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 HUNTINGTON DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102527",
            "telephone_number": "626-359-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PAZ MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "MANTELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "BERTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-359-8604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A39992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie McArdle Kunkel, DPT
• Pei Kuo, NP-C
• Larry W. Kwak, M.D. , PHD
• Hygine Kwon
• Mike Kwon, MD
• Keane Lai
• Lily Lai, MD
• Lal L. Thanga DDS Inc
• Allie Lam, OTR/L
• Keng Lam, MD

• Primary Care Clinic/Center in Duarte, CA
• Providers in Duarte, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.