Organization Active NPI

Central Metro Clinic, Inc

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1124804661
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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

Updated by the provider on Aug 31, 2023

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)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.