Organization Active NPI

Reliant Medical Management Inc

  • Non-Pharmacy Dispensing Site
  • Los Angeles, CA
National Provider Identifier
1174828925
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
RELIANT MEDICAL MANAGEMENT INC
Practice address
9601 S Sepulveda Blvd
Los Angeles, CA 90045-5203
Phone
(310) 491-7066
NPI assigned
Jan 25, 2011
Organization subpart
Yes
Parent organization
RELIANT MEDICAL MANAGEMENT INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Authorized official

Name
Max Lebow, M.D.
Title
Medical Director
Phone
(310) 491-7066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

9601 S Sepulveda Blvd
Los Angeles, CA 90045-5203

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

National Provider Directory

National Provider Directory
Tax ID family
Reliant Medical Management Inc2 organizations share this tax ID, including this one
Part of
Reliant Medical Management Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1174828925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 S SEPULVEDA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455203",
            "telephone_number": "310-491-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT MEDICAL MANAGEMENT INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RELIANT MEDICAL MANAGEMENT INC",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "LEBOW",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-491-7066",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "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 Feb 16, 2011; 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.