Baltimo Medical Center Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BALTIMO MEDICAL CENTER INC

Practice address

3700 Wilshire Blvd Ste 422
Los Angeles, CA 90010-2905

Phone

(310) 412-3800

NPI assigned

Jan 11, 2019

Organization subpart

No

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

Authorized official

Name

Jacob Edem

Title

Administrator

Phone

(310) 412-3800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1306310495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WILSHIRE BLVD STE 422",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102905",
            "telephone_number": "310-412-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WILSHIRE BLVD STE 422",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102905",
            "telephone_number": "310-412-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMO MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "EDEM",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-412-3800"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ludim Sismai Baltazar
• Margarita Baltazar
• Tony Baltazar
• Yumi Balthazar
• Joanne Baltierrez Fernandez
• Alexander Francois Baltodano, MD
• Joseph Baltrushes
• Baltz Psychiatry Nursing, Inc.
• Gerald M Baltz, DNP
• James Baltz

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.