Organization Active NPI

DRMC-Western Omm Clinic of Downey LLC

  • Clinic/Center
  • Downey, CA
National Provider Identifier
1215109095
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DRMC-WESTERN OMM CLINIC OF DOWNEY LLC
Practice address
11411 Brookshire Avenue
Suite #304
Downey, CA 90241
Phone
(562) 904-5187
NPI assigned
Apr 1, 2008
Organization subpart
Yes
Parent organization
DCH HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mr. Robert E. Fuller
Title
Chief Operating Officer
Phone
(562) 904-5187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

11411 Brookshire Avenue
Suite #304
Downey, CA 90241

Mailing address

11500 Brookshire Avenue
Downey, CA 90241
Phone (562) 904-5187

Other names 1

  • Osteopathic Center for Well-Being Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DRMC-Western Omm Clinic of Downey LLC2 organizations share this tax ID, including this one
Part of
Downey Community Hsop

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1215109095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 BROOKSHIRE AVENUE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "90241",
            "telephone_number": "562-904-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 BROOKSHIRE AVENUE",
            "address_2": "SUITE #304",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "90241",
            "telephone_number": "562-904-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRMC-WESTERN OMM CLINIC OF DOWNEY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DCH HEALTH SERVICES",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "562-904-5187",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osteopathic Center for Well-Being",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.