Clifford I Iriele MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A102130 Issued in CA

Legal business name

CLIFFORD I IRIELE MD INC

Practice address

1711 W Temple St
Suite 6642
Los Angeles, CA 90026-5421

Phone

(213) 483-0246

Fax

(213) 483-0249

NPI assigned

Feb 23, 2011

Organization subpart

No

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

Authorized official

Name

Clifford Ifeanyi Iriele, MDNPI 1518124718

Title

Owner

Phone

(213) 483-0246

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clifford Ifeanyi Iriele, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1518124718
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1154628493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34819",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900340819",
            "telephone_number": "213-483-0246",
            "fax_number": "213-483-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST",
            "address_2": "SUITE 6642",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "213-483-0246",
            "fax_number": "213-483-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD I IRIELE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "IRIELE",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "IFEANYI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-483-0246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A102130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Manuel Cleveland, D.C.
• John David Cleveland, M.D.
• Tia Monae Cleveland
• Elgina A Clewley
• Amy Click
• Clifford I. Marshall MD Inc.
• Michael John Clifford, DC
• Sarah Clifford, SPT
• Thomas G Clifford
• Anne Mae Badua Climaco, M.D.

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.