Los Angeles County King Drew Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

C41685 Issued in CA

Legal business name

LOS ANGELES COUNTY KING DREW MEDICAL CENTER

Practice address

4505 Fairway Dr
Lakewood, CA 90712-3430

Phone

(310) 429-5305

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mehdi Jam, MD

Title

Physician

Phone

(310) 668-4545

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194865147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 FAIRWAY DR",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "90712",
            "telephone_number": "310-668-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 FAIRWAY DR",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907123430",
            "telephone_number": "310-429-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES COUNTY KING DREW MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAM",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "310-668-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "C41685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Lopez
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• Pedro Lopez, PTA
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• Edward John Loveres

• General Acute Care Hospital in Lakewood, CA
• Providers in Lakewood, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.