Active NPI
Central Metro Clinic, Inc
- Multi-Specialty Clinic/Center
- Los Angeles, CA
National Provider Identifier
1124804661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- CENTRAL METRO CLINIC, INC
- Practice address
- 3440 Wilshire Blvd Ste 1207
Los Angeles, CA 90010-2127 - Phone
- (213) 380-3800
- NPI assigned
- Aug 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Anna Guryanova
- Title
- Manager
- Phone
- (213) 380-3800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
3440 Wilshire Blvd Ste 1207
Los Angeles, CA 90010-2127
Mailing address
3440 Wilshire Blvd Ste 1207
Los Angeles, CA 90010-2127
National Provider Directory
National Provider DirectoryLocations
3440 Wilshire Blvd
Ste 1207
Los Angeles, CA 90010
Phone (213) 380-3800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693440000000",
"number": "1124804661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3440 WILSHIRE BLVD STE 1207",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900102127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 WILSHIRE BLVD STE 1207",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900102127",
"telephone_number": "213-380-3800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL METRO CLINIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-31",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A",
"authorized_official_last_name": "GURYANOVA",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "213-380-3800",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Central City Community Health Center Inc
- Central City Community Health Center, Inc.
- Central City Community Health Center, Inc.
- Central Community Pharmacy, Inc.
- Central Medical Clinic Inc
- Central Neighborhood Health Foundation
- Central Neighborhood Health Foundation
- Central Neighborhood Health Foundation
- Central Neighborhood Health Foundation
- Central Neighborhood Health Foundation - Fontana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.