Personal Unicare Medical Clinic a Medical Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A37859 Issued in CA

Legal business name

PERSONAL UNICARE MEDICAL CLINIC A MEDICAL CORPORATION

Practice address

1019 N Fairfax Ave
101
West Hollywood, CA 90046-6160

Phone

(323) 650-5530

Fax

(323) 650-5539

NPI assigned

Jun 24, 2008

Organization subpart

No

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

Authorized official

Name

Dmitry Oykherman

Title

Office Manager

Phone

(323) 650-5530

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1285895987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 N FAIRFAX AVE",
            "address_2": "101",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466160",
            "telephone_number": "323-650-5530",
            "fax_number": "323-650-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 N FAIRFAX AVE",
            "address_2": "101",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466160",
            "telephone_number": "323-650-5530",
            "fax_number": "323-650-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL UNICARE MEDICAL CLINIC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "OYKHERMAN",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "323-650-5530"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A37859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Rose Perkins, D.C.
• Ryan Jonathan Perlman, MD
• Deena Helen Perotti, M.D.
• Perry Alan Meier (Beverly Vascular Laboratory)
• Tiffany Grace Perry, M.D.
• Michael Peterson, LCSW
• Danny Petrasek, MD PHD
• Masoumeh Peykan Heyraty
• Bryan Behzad Pezeshki, MD, MBA
• David Phak, MD

• General Practice Physician in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.