Lindero Urgent Care & Med Spa

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

LINDERO URGENT CARE & MED SPA

Practice address

630 Lindero Canyon Rd
Oak Park, CA 91377-5456

Phone

(818) 963-8188

NPI assigned

Jul 8, 2021

Organization subpart

No

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

Authorized official

Name

Philip Lee, MD

Title

MD

Phone

(818) 706-6555

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1124699210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 LINDERO CANYON RD",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913775456",
            "telephone_number": "818-706-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 LINDERO CANYON RD",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913775456",
            "telephone_number": "818-963-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDERO URGENT CARE & MED SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "818-706-6555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Scott Kopstein, D.O., a Professional Corporation
• Karen Kulchin, LCSW
• Michael Jason Kelley
• Suzi Landolphi, LMFT
• Andrew Levine
• Jenna Marcovitz
• Emily Markarian
• Andrew M Matthew, M.D.
• Neal Memarian
• Eileen Dale Misrahi, OTR/L

• Urgent Care Clinic/Center in Oak Park, CA
• Providers in Oak Park, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.