Organization Active NPI

Center for Living Medical Group Inc

  • Psychiatry Physician
  • Rosemead, CA
National Provider Identifier
1215394283
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CENTER FOR LIVING MEDICAL GROUP INC
Practice address
4519 Rosemead Blvd FL 2
Rosemead, CA 91770-1476
Phone
(626) 308-9784
NPI assigned
Jan 21, 2016
Last updated
Jan 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Wakelin McNeel, MD
Title
President
Phone
(626) 308-9784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

4519 Rosemead Blvd FL 2
Rosemead, CA 91770-1476

Mailing address

4519 Rosemead Blvd FL 2
Rosemead, CA 91770-1476

National Provider Directory

National Provider Directory

Locations

4519 Rosemead Blvd
Fl 2
Rosemead, CA 91770
Phone (626) 308-9784

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1215394283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 ROSEMEAD BLVD FL 2",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 ROSEMEAD BLVD FL 2",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701476",
            "telephone_number": "626-308-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR LIVING MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "MCNEEL",
        "authorized_official_first_name": "WAKELIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-308-9784",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.