NPIMap

Organization Active NPI

County of Los Angeles - Auditor Controller

Doing business as Harbor UCLA Family Medicine

  • Clinic/Center
  • Harbor City, CA
National Provider Identifier
1194288852
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COUNTY OF LOS ANGELES - AUDITOR CONTROLLER
Doing business as
Harbor UCLA Family Medicine
Practice address
1403 Lomita Blvd
Suite 102, Rooms 1-26 & Conference Room
Harbor City, CA 90710
Phone
(310) 534-6221
NPI assigned
Apr 10, 2019
Last updated
Apr 11, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF LOS ANGELES-AUDITOR CONTROLLERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Authorized official

Name
Virginia Perez
Title
Chief-Consolidated Business Office
Phone
(323) 914-7622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1403 Lomita Blvd
Suite 102, Rooms 1-26 & Conference Room
Harbor City, CA 90710

Mailing address

1403 Lomita Blvd
Suite 102
Harbor City, CA 90710
Phone (310) 534-6221

Other names 2

  • Harbor UCLA Family Medicine Doing business as
  • DMC-ODS Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1095149Harbor-UCLA Family Medicine1403 Lomita Blvd, 2ND Floor, Harbor City, CA 90710Certificate of waiverFeb 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Rancho Los Amigos Liver613 organizations share this tax ID, including this one
Part of
Rancho Los Amigos Liver

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1194288852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 LOMITA BLVD",
            "address_2": "SUITE 102",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "90710",
            "telephone_number": "310-534-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 LOMITA BLVD",
            "address_2": "SUITE 102, ROOMS 1-26 & CONFERENCE ROOM",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "90710",
            "telephone_number": "310-534-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LOS ANGELES - AUDITOR CONTROLLER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF LOS ANGELES-AUDITOR CONTROLLER",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "CHIEF-CONSOLIDATED BUSINESS OFFICE",
        "authorized_official_telephone_number": "323-914-7622"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor UCLA Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DMC-ODS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Harbor City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.