Protox Management Group, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PROTOX MANAGEMENT GROUP, LLC

Practice address

1464 Madera Rd # N181
Simi Valley, CA 93065-3077

Phone

(805) 416-1648

NPI assigned

Aug 23, 2013

Organization subpart

No

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

Authorized official

Name

Christina Khumnorkiew

Title

Lead

Phone

(805) 416-1648

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1194159327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 MADERA RD # N181",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 MADERA RD # N181",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653077",
            "telephone_number": "805-416-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTOX MANAGEMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "KHUMNORKIEW",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "LEAD",
        "authorized_official_telephone_number": "805-416-1648"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.