Active NPI
Ootify Plus Health Group, Inc
- Psychologist
- Los Angeles, CA
National Provider Identifier
1245847201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- OOTIFY PLUS HEALTH GROUP, INC
- Practice address
- 11980 San Vicente Blvd Ste 910
Los Angeles, CA 90049-6607 - Phone
- (424) 581-7276
- NPI assigned
- Sep 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul Rajesh Puri, MD
- Title
- Chief Medical Officer
- Phone
- (310) 989-2614
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary | ||
| Counseling Psychologist | 103TC1900X |
Addresses
Primary practice location
11980 San Vicente Blvd Ste 910
Los Angeles, CA 90049-6607
Mailing address
907 Westwood Blvd Ste 611
Los Angeles, CA 90024-2904
National Provider Directory
National Provider DirectoryLocations
11980 San Vicente Blvd
Ste 910
Los Angeles, CA 90049
Phone (310) 826-8633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600905600000",
"number": "1245847201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 WESTWOOD BLVD STE 611",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900242904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11980 SAN VICENTE BLVD STE 910",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900496607",
"telephone_number": "424-581-7276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OOTIFY PLUS HEALTH GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-24",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A",
"authorized_official_last_name": "PURI",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "RAJESH",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "310-989-2614",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
}
],
"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 Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.