Organization Active NPI

Gorlitsky, Stein & Hernandez Medical Group, Co.

  • Internal Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1326378571
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GORLITSKY, STEIN & HERNANDEZ MEDICAL GROUP, CO.
Practice address
2001 Santa Monica Blvd.,
Ste #680W
Santa Monica, CA 90404-2102
Phone
(310) 442-2113
Fax
(310) 442-9596
NPI assigned
Jan 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Authorized official

Name
Glenn A Gorlitsky, M.D.NPI 1881625143
Title
President
Phone
(310) 453-0419

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2001 Santa Monica Blvd.,
Ste #680W
Santa Monica, CA 90404-2102

Mailing address

2001 Santa Monica Blvd.,
Ste #680W
Santa Monica, CA 90404-2102
Phone (310) 442-2113

National Provider Directory

National Provider Directory

Locations

2001 Santa Monica Blvd
Ste 680W
Santa Monica, CA 90404
Phone (310) 453-0419

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": "1263254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1326378571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD.,",
            "address_2": "STE #680W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-442-2113",
            "fax_number": "310-442-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD.,",
            "address_2": "STE #680W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-442-2113",
            "fax_number": "310-442-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORLITSKY, STEIN & HERNANDEZ MEDICAL GROUP, CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-12",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "GORLITSKY",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-453-0419",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.