Luis Vallejo, M.D., Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

LUIS VALLEJO, M.D., INC.

Practice address

125 S Crescent Dr Apt 6
Beverly Hills, CA 90212-3115

Phone

(281) 655-7674

NPI assigned

Jan 25, 2022

Last updated

Jan 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Luis Julian Vallejo, MDNPI 1457735060

Title

Chief Medical Officer

Phone

(281) 655-7674

Specialties & licenses 1

Addresses

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.

• Luis Vallejo, M.D.

  • Psychiatry Physician
  • West Hollywood, CA
  • NPI 1457735060
  NPD Authorized official

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1285386854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S CRESCENT DR APT 6",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123115",
            "telephone_number": "281-655-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S CRESCENT DR APT 6",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123115",
            "telephone_number": "281-655-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS VALLEJO, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "VALLEJO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "JULIAN",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "281-655-7674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Lowey
• Melissa Joanne Lozano, PA-C
• LR Rifkin a Professional Corp
• Elizabeth J Lu, MD
• Valerie Anne Luethge Stern, PA-C, MPAS
• Kristen Lum Green, LAC
• Jill Lummus, PSYD
• Karla Francesca Lumunsad, FNP
• John Thornton Lundgren, M.D.
• Leif E. Lunsford, M.D.

• Psychiatry Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.