Active NPI
Moses Albalas OD PHD Inc
- Optometrist
- Los Angeles, CA
National Provider Identifier
1174665723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5238T
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 DirectoryLocations
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.