Active NPI
Noho Medical Center Inc
- Primary Care Clinic/Center
- North Hollywood, CA
National Provider Identifier
1326829367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- NOHO MEDICAL CENTER INC
- Practice address
- 12805 Victory Blvd
North Hollywood, CA 91606-3012 - Phone
- (213) 293-2323
- Fax
- (213) 290-9191
- NPI assigned
- Oct 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward Nana Opoku Jr., MD
- Title
- Ceo
- Phone
- (323) 974-3211
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
12805 Victory Blvd
North Hollywood, CA 91606-3012
Mailing address
12805 Victory Blvd
North Hollywood, CA 91606-3012
Phone (213) 293-2323
National Provider Directory
National Provider DirectoryLocations
12805 Victory Blvd
North Hollywood, CA 91606
Phone (213) 293-2323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696550400000",
"number": "1326829367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12805 VICTORY BLVD",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916063012",
"telephone_number": "213-293-2323",
"fax_number": "213-290-9191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12805 VICTORY BLVD",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916063012",
"telephone_number": "213-293-2323",
"fax_number": "213-290-9191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOHO MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-06",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A",
"authorized_official_last_name": "OPOKU",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "NANA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "323-974-3211",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.