Time Medical Biotech

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

TIME MEDICAL BIOTECH

Practice address

815 S Ardmore Ave
Los Angeles, CA 90005-2597

Phone

(323) 852-3245

NPI assigned

Feb 27, 2019

Last updated

Feb 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jae Lee, MD

Title

President

Phone

(323) 852-3245

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1184181943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S ARDMORE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900052597",
            "telephone_number": "323-852-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S ARDMORE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900052597",
            "telephone_number": "323-852-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME MEDICAL BIOTECH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-852-3245",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL BOARD",
            "identifier": "A32086",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Timajchi, CRNA
• Rizi Timane
• Ajibu Timbo
• Alpha G Timbo, LCSW
• Mahmood Bulko Timbo, P.A
• Girum Haimanot Timkete I
• John Matthew Timmerman, MD
• Lauren Kylene Timmons Sund, SLP
• Penny Timmons, LMFT
• Olga Alexeevna Timofeeva, PHD, F(ACHI)

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.