East la Paz Family Medical Clinic, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G56407 Issued in CA

Legal business name

EAST LA PAZ FAMILY MEDICAL CLINIC, PC

Practice address

3712 Whittier Blvd # 1
Los Angeles, CA 90023-1733

Phone

(323) 268-8347

Fax

(323) 268-8368

NPI assigned

Jan 7, 2014

Organization subpart

No

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

Authorized official

Name

Mr. William Chu, M.S. P.A.CNPI 1043227804

Title

Ceo

Phone

(323) 268-8347

Specialties & licenses 3

Addresses

Locations

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.

• William Chu, PA-C

  • Medical Physician Assistant
  • Los Angeles, CA
  • NPI 1043227804
  Authorized official Same address or phone

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1215359450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 WHITTIER BLVD STE 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231733",
            "telephone_number": "323-268-8347",
            "fax_number": "323-268-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 WHITTIER BLVD # 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231733",
            "telephone_number": "323-268-8347",
            "fax_number": "323-268-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST LA PAZ FAMILY MEDICAL CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-268-8347",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S. P.A.C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G56407",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "PA15296",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Healthcare Center, LLC (Country Villa East Nursing Center)
• East la Dialysis Center
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• East la Emergency Physicians, Inc.
• East la Paz Family Medical Clinic PA
• East la Paz Medical Clinic (East Family Medical Clinic)
• East la Pharmacy Corp
• East Los Angeles Cardiology Medical Group, Inc.
• East Los Angeles Center for Orthopedics and Rehabilitation
• East Los Angeles Clinica Medica General Medical Center Inc

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, 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 Jul 20, 2016; 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.