Organization Active NPI

West Hollywood Neuromuscular Center Inc.

  • Physical Therapist
  • West Hollywood, CA
National Provider Identifier
1306177183
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WEST HOLLYWOOD NEUROMUSCULAR CENTER INC.
Practice address
7607 Santa Monica Blvd
Suite 23
West Hollywood, CA 90046-6400
Phone
(323) 454-2575
Fax
(323) 482-1827
NPI assigned
Jan 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Authorized official

Name
Mrs. Tatiana Li
Title
Administrator
Phone
(323) 454-2575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

7607 Santa Monica Blvd
Suite 23
West Hollywood, CA 90046-6400

Mailing address

7607 Santa Monica Blvd
Suite 23
West Hollywood, CA 90046-6400
Phone (323) 454-2575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100423000046 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4688701691 Receives reassigned benefits from 1 practitioner
Practice locations: West Hollywood, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1306177183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7607 SANTA MONICA BLVD",
            "address_2": "SUITE 23",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466400",
            "telephone_number": "323-454-2575",
            "fax_number": "323-482-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7607 SANTA MONICA BLVD",
            "address_2": "SUITE 23",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466400",
            "telephone_number": "323-454-2575",
            "fax_number": "323-482-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HOLLYWOOD NEUROMUSCULAR CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-454-2575",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.