Organization Active NPI

West la Medical Corporation

  • Physical Medicine & Rehabilitation Physician
  • Los Angeles, CA
National Provider Identifier
1124773502
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
WEST LA MEDICAL CORPORATION
Practice address
11075 Santa Monica Blvd Ste 175
Los Angeles, CA 90025-7567
Phone
(310) 427-7374
NPI assigned
Feb 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
R'Kione Britton
Title
Owner
Phone
(310) 427-7374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

11075 Santa Monica Blvd Ste 175
Los Angeles, CA 90025-7567

Mailing address

11075 Santa Monica Blvd Ste 175
Los Angeles, CA 90025-7567

National Provider Directory

National Provider Directory

Locations

11075 Santa Monica Blvd
Ste 175
Los Angeles, CA 90025
Phone (310) 427-7374

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1124773502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11075 SANTA MONICA BLVD STE 175",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11075 SANTA MONICA BLVD STE 175",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257567",
            "telephone_number": "310-427-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "BRITTON",
        "authorized_official_first_name": "R'KIONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-427-7374"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.