Teresa Medical Center, Inc.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

A70290 Issued in CA

Legal business name

TERESA MEDICAL CENTER, INC.

Practice address

1407 N Vermont Ave # a
Los Angeles, CA 90027-6023

Phone

(310) 908-1007

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Arjang Naim, M.D.

Title

Owner

Phone

(323) 660-5900

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Jennifer Madrigal, PA

  • Medical Physician Assistant
  • Los Angeles, CA
  • NPI 1679711204
  NPD (past)
• Antonio Morquecho, PA

  • Family Medicine Physician
  • Downey, CA
  • NPI 1417173220
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1205056033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043511",
            "telephone_number": "323-660-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 N VERMONT AVE # A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276023",
            "telephone_number": "310-908-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "NAIM",
        "authorized_official_first_name": "ARJANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-660-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G15628",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A70290",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "A70290",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G15628",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0090191",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gynecology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.