Jreh Medical Clinic Inc. Dba

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

C22547 Issued in CA

Legal business name

JREH MEDICAL CLINIC INC. DBA

Practice address

615 S Atlantic Blvd
Los Angeles, CA 90022-3211

Phone

(323) 399-3000

NPI assigned

Nov 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Alva Marsh, M.D

Title

Physician

Phone

(323) 399-3000

Specialties & licenses 1

Addresses

Other names 1

• Clinica Virgen Guadalupe Doing business as

Locations

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1356748123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S ATLANTIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900223211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S ATLANTIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900223211",
            "telephone_number": "323-399-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JREH MEDICAL CLINIC INC. DBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "ALVA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "323-399-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "CA",
            "license": "C22547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Virgen Guadalupe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Skilled Nursing Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatric Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.