Organization Active NPI

Neo Medical Centre

  • Multi-Specialty Clinic/Center
  • Harbor City, CA
National Provider Identifier
1255984910
Registry record updated Sep 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
NEO MEDICAL CENTRE
Practice address
1403 Lomita Blvd Ste 307
Harbor City, CA 90710-2085
Phone
(310) 456-4317
NPI assigned
Jul 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2019

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

Authorized official

Name
Richard Keech, MD
Title
Medical Director
Phone
(424) 352-0326

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X
Health Service Clinic/Center 261QH0100X
Multi-Specialty Clinic/Center 261QM1300X Primary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

1403 Lomita Blvd Ste 307
Harbor City, CA 90710-2085

Mailing address

1403 Lomita Blvd Ste 307
Harbor City, CA 90710-2085
Phone (310) 456-4317

National Provider Directory

National Provider Directory

Locations

1403 Lomita Blvd
Ste 307
Harbor City, CA 90710
Phone (310) 456-4317

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569024000000",
    "number": "1255984910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 LOMITA BLVD STE 307",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102085",
            "telephone_number": "310-456-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 LOMITA BLVD STE 307",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102085",
            "telephone_number": "310-456-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEO MEDICAL CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-09-21",
        "status": "A",
        "authorized_official_last_name": "KEECH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "424-352-0326",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2019; 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.