Organization Active NPI

Moses Albalas OD PHD Inc

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1174665723
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5238T Issued in CA
Legal business name
MOSES ALBALAS OD PHD INC
Practice address
12732 Washington Blvd
Suite a
Los Angeles, CA 90066-2378
Phone
(310) 306-3737
Fax
(310) 306-2928
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Moses Albalas, PHD OD
Title
President Optometric Prof Corporati
Phone
(310) 306-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 5238T CA Primary

Addresses

Primary practice location

12732 Washington Blvd
Suite a
Los Angeles, CA 90066-2378

Mailing address

12732 Washington Blvd
Suite a
Los Angeles, CA 90066-2378
Phone (310) 306-3737

National Provider Directory

National Provider Directory

Locations

12732 W Washington Blvd
Ste A
Los Angeles, CA 90066
Phone (310) 306-3737

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174665723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12732 WASHINGTON BLVD",
            "address_2": "SUITE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900662378",
            "telephone_number": "310-306-3737",
            "fax_number": "310-306-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12732 WASHINGTON BLVD",
            "address_2": "SUITE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900662378",
            "telephone_number": "310-306-3737",
            "fax_number": "310-306-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES ALBALAS OD PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALBALAS",
        "authorized_official_first_name": "MOSES",
        "authorized_official_title_or_position": "PRESIDENT OPTOMETRIC PROF CORPORATI",
        "authorized_official_telephone_number": "310-306-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5238T",
            "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 22, 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.