Organization Active NPI

West Coast Valley Medical Inc

  • Primary Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1134730906
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WEST COAST VALLEY MEDICAL INC
Practice address
3357 Cahuenga Blvd W # 18
Los Angeles, CA 90068-1327
Phone
(818) 601-0616
NPI assigned
Aug 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Arsen Kazaryan
Title
Employee
Phone
(818) 601-0616

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3357 Cahuenga Blvd W # 18
Los Angeles, CA 90068-1327

Mailing address

3357 Cahuenga Blvd W # 18
Los Angeles, CA 90068-1327
Phone (818) 601-0616

National Provider Directory

National Provider Directory

Locations

3357 Cahuenga Blvd W
Ste 18
Los Angeles, CA 90068
Phone (818) 601-0616

3357 Cahuenga Blvd W
#18
Los Angeles, CA 90068
Phone (818) 601-0616

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": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1134730906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3357 CAHUENGA BLVD W # 18",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681327",
            "telephone_number": "818-601-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3357 CAHUENGA BLVD W # 18",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681327",
            "telephone_number": "818-601-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST VALLEY MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "KAZARYAN",
        "authorized_official_first_name": "ARSEN",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "818-601-0616"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "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 26, 2020; 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.