Organization Active NPI

House Healthcare Inc.

  • Otolaryngic Allergy Physician
  • Los Angeles, CA
National Provider Identifier
1184931347
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X
Otolaryngic Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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.

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.

Verify at the official NPI Registry.