Active NPI
House Healthcare Inc.
- Otolaryngic Allergy Physician
- Los Angeles, CA
National Provider Identifier
1184931347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngic Allergy Physician
- Legal business name
- HOUSE HEALTHCARE INC.
- Practice address
- 2100 W 3Rd St
Suite 111
Los Angeles, CA 90057-1944 - Phone
- (213) 483-9930
- Fax
- (213) 483-0905
- NPI assigned
- Sep 9, 2010
- Organization subpart
- Yes
- Parent organization
- HOUSE EAR CLINIC INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mary Jennifer Derebery, M.D.
- Title
- Vice President
- Phone
- (213) 483-9930
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | |||
| Otolaryngic Allergy Physician | 207YX0602X | Primary |
Addresses
Primary practice location
2100 W 3Rd St
Suite 111
Los Angeles, CA 90057-1944
Mailing address
PO Box 74070
Los Angeles, CA 90004-0070
Phone (213) 483-9930
National Provider Directory
National Provider Directory- Part of
- House Ear Clinic
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Los Angeles, CA
- NPI 1538258082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283990400000",
"number": "1184931347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74070",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900040070",
"telephone_number": "213-483-9930",
"fax_number": "213-483-0905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 W 3RD ST",
"address_2": "SUITE 111",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900571944",
"telephone_number": "213-483-9930",
"fax_number": "213-483-0905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOUSE HEALTHCARE INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOUSE EAR CLINIC INC.",
"enumeration_date": "2010-09-09",
"last_updated": "2010-09-09",
"status": "A",
"authorized_official_last_name": "DEREBERY",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "JENNIFER",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "213-483-9930",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YX0602X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngic Allergy",
"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 Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.