Active NPI
Ersno Eromo MD, Inc.
- Orthopaedic Surgery Physician
- Los Angeles, CA
National Provider Identifier
1174084818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ERSNO EROMO MD, INC.
- Practice address
- 1513 S Grand Ave
Los Angeles, CA 90015-3070 - Phone
- (310) 704-9880
- NPI assigned
- Mar 26, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ersno Eromo, MD
- Title
- Ceo
- Phone
- (310) 704-9880
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
1513 S Grand Ave
Los Angeles, CA 90015-3070
Mailing address
8447 Wilshire Blvd Ste 204
Beverly Hills, CA 90211-3207
Phone (310) 929-6336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03375844 | Medicaid | NY |
Other names 1
- Concierge Healthcare Partners
National Provider Directory
National Provider Directory- Tax ID family
- Concierge Healthcare Partners
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1578022505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685232000000",
"number": "1174084818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8447 WILSHIRE BLVD STE 204",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902113207",
"telephone_number": "310-929-6336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1513 S GRAND AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900153070",
"telephone_number": "310-704-9880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERSNO EROMO MD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-26",
"last_updated": "2023-05-28",
"certification_date": "2023-05-28",
"status": "A",
"authorized_official_last_name": "EROMO",
"authorized_official_first_name": "ERSNO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-704-9880",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03375844",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Concierge Healthcare Partners",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Concierge Healthcare Partners",
"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 May 28, 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.