Active NPI
Freddy Soewin Aw, M.D.
- Family Medicine Physician
- Los Angeles, CA
National Provider Identifier
1356452114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A42328
- Practice address
- 10300 Compton Ave
Los Angeles, CA 90002-3628 - Phone
- (323) 564-4331
- Fax
- (323) 564-0560
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A42328 | CA | Primary |
Addresses
Primary practice location
10300 Compton Ave
Los Angeles, CA 90002-3628
Mailing address
PO Box 90422
City of Industry, CA 91715-0422
Phone (626) 664-7595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A42328 | CA | MD | Family Medicine Physician |
| 42328 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356452114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90422",
"city": "CITY OF INDUSTRY",
"state": "CA",
"postal_code": "917150422",
"telephone_number": "626-664-7595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 COMPTON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900023628",
"telephone_number": "323-564-4331",
"fax_number": "323-564-0560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AW",
"first_name": "FREDDY",
"middle_name": "SOEWIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A42328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.