Organization Active NPI

Haywood Hall M.D., P.C.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1134898299
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HAYWOOD HALL M.D., P.C.
Doing business as
GRX Medical Group of California
Practice address
445 S Figueroa St Ste 3100
Los Angeles, CA 90071-1635
Phone
(505) 239-0143
NPI assigned
Sep 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Dr. Haywood Hall, MD
Title
President
Phone
(505) 239-0143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

445 S Figueroa St Ste 3100
Los Angeles, CA 90071-1635

Mailing address

622 Banyan TRL Ste 614
Boca Raton, FL 33431-5614
Phone (505) 239-0143

Other names 1

  • GRX Medical Group of California Doing business as

National Provider Directory

National Provider Directory

Locations

622 Banyan Trl
Ste 614
Boca Raton, FL 33431
Phone (561) 901-1741

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1134898299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 BANYAN TRL STE 614",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315614",
            "telephone_number": "505-239-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 S FIGUEROA ST STE 3100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900711635",
            "telephone_number": "505-239-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYWOOD HALL M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "HAYWOOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-239-0143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRX Medical Group of California",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 10, 2021; 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.