Toluca Lake Medical Center Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A19055 Issued in CA

Legal business name

TOLUCA LAKE MEDICAL CENTER INC

Practice address

10745 Riverside Dr
Suite E
Toluca Lake, CA 91602-2371

Phone

(181) 862-3010

Fax

(181) 862-3893

NPI assigned

Apr 1, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Luis M Flores, M.D.

Title

Ceo

Phone

(818) 623-0104

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Conrad J R Miranda IV, M.D.

  • General Practice Physician
  • Northridge, CA
  • NPI 1073554168
  NPD (past)
• Paul M Robinson, MD

  • General Practice Physician
  • Marina del Rey, CA
  • NPI 1447390067
  NPD (past)
• Haleh Toutounchi, DPM

  • Foot & Ankle Surgery Podiatrist
  • Reseda, CA
  • NPI 1801052006
  NPD (past)

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1346482601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10745 RIVERSIDE DR",
            "address_2": "SUITE E",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022371",
            "telephone_number": "181-862-3010",
            "fax_number": "181-862-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10745 RIVERSIDE DR",
            "address_2": "SUITE E",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022371",
            "telephone_number": "181-862-3010",
            "fax_number": "181-862-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLUCA LAKE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "18186230104",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A19055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Ghotanian DDS PC
• Toluca Acupuncture Center
• Toluca Hospice Care, Inc.
• Toluca Lake Foot Institute Inc
• Toluca Lake Home Health Inc
• Toluca Lake Medical Clinic Inc
• Toluca Lake Medical Management
• Toluca Lake Medical Supply Inc
• Toluca Medical Group PC
• Traci Gunn, Marriage and Family Therapy Corporation

• General Practice Physician in Toluca Lake, CA
• Providers in Toluca Lake, 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 Apr 3, 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.