Winnetka Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

W21706 Issued in CA

Legal business name

WINNETKA MEDICAL GROUP INC

Doing business as

Health & Beauty Clinic

Practice address

6742 Winnetka Ave
Winnetka, CA 91306

Phone

(818) 888-4063

Fax

(818) 888-4064

NPI assigned

Apr 23, 2007

Last updated

Jun 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pez Abrahams, MDNPI 1083632699

Title

Medical Doctor

Phone

(818) 888-4063

Specialties & licenses 1

Addresses

Other names 1

• Health & Beauty Clinic Doing business as

Practitioners 1

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.

• Pez Abrahams, M.D.

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1083632699
  NPD (past) Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1205054434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6742 WINNETKA AVE",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "91306",
            "telephone_number": "818-888-4063",
            "fax_number": "818-888-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6742 WINNETKA AVE",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "91306",
            "telephone_number": "818-888-4063",
            "fax_number": "818-888-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNETKA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "ABRAHAMS",
        "authorized_official_first_name": "PEZ",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "818-888-4063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "W21706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health & Beauty Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elenita Lucero Wheeler, M.D.
• Wilbur Imaging Partners Inc (OZ Radiology)
• Willpower Wellness and Physical Therapy
• Winnetka Assisted Living Inc.
• Winnetka Home Care, Inc
• Eliezer M Yachini, FNP-BC
• Justin Noel Yap, RPH
• Angelica Yerena
• Jittdaroon Yoobhat
• Young Memories Home Health Care

• Family Medicine Physician in Winnetka, CA
• Providers in Winnetka, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.