NPIMap

Organization Active NPI

Clinica de Los Angeles Medical Group , Inc

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1245524578
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A54524 Issued in CA
Legal business name
CLINICA DE LOS ANGELES MEDICAL GROUP , INC
Practice address
2098 S. Central Ave
Los Angeles, CA 90011-1235
Phone
(213) 744-9494
Fax
(213) 744-9595
NPI assigned
Jun 3, 2011
Last updated
Jun 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2011

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

Authorized official

Name
Dr. Mohamad Yaghi, M.D
Title
Owner
Phone
(213) 744-9494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A54524 CA Primary

Addresses

Primary practice location

2098 S. Central Ave
Los Angeles, CA 90011-1235

Mailing address

2098 S. Central Ave
Los Angeles, CA 90011-1235
Phone (213) 744-9494

National Provider Directory

National Provider Directory
Tax ID family
Clinica de Los Angeles Medical Group2 organizations share this tax ID, including this one

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": "1307059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1245524578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2098 S. CENTRAL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900111235",
            "telephone_number": "213-744-9494",
            "fax_number": "213-744-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2098 S. CENTRAL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900111235",
            "telephone_number": "213-744-9494",
            "fax_number": "213-744-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE LOS ANGELES MEDICAL GROUP , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-03",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "YAGHI",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-744-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A54524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.