NPIMap

Organization Active NPI

US Medical Group

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1134364243
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A80750 Issued in CA
Legal business name
US MEDICAL GROUP
Practice address
8610 S. Selpulveda Blvd.
#208
Los Angeles, CA 90045
Phone
(310) 999-9826
Fax
(310) 909-8692
NPI assigned
Dec 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Dshaikh Izuchukwu, ED
Title
Executive Director
Phone
(310) 999-9826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A80750 CA Primary

Addresses

Primary practice location

8610 S. Selpulveda Blvd.
#208
Los Angeles, CA 90045

Mailing address

P.O. Box 84480
Los Angeles, CA 90073
Phone (310) 999-9826

National Provider Directory

National Provider Directory

Locations

8610 S Sepulveda Blvd
Ste 208
Westchester, CA 90045
Phone (310) 642-0100

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1134364243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 84480",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90073",
            "telephone_number": "310-999-9826",
            "fax_number": "310-909-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8610 S. SELPULVEDA BLVD.",
            "address_2": "#208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90045",
            "telephone_number": "310-999-9826",
            "fax_number": "310-909-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "IZUCHUKWU",
        "authorized_official_first_name": "DSHAIKH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-999-9826",
        "authorized_official_credential": "ED"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A80750",
            "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 Dec 4, 2008; 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.