Active NPI
Westlake Medical Management Inc.
- Long Term Care Pharmacy
- Los Angeles, CA
National Provider Identifier
1366478992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- WESTLAKE MEDICAL MANAGEMENT INC.
- Practice address
- 529 S Alvarado St
Los Angeles, CA 90057-2903 - Phone
- (213) 383-4262
- Fax
- (213) 383-4263
- NPI assigned
- Jun 24, 2006
- 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
- Mrs. Diana Blumkin
- Title
- President
- Phone
- (213) 383-4262
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility Supplies (DME) | 332BN1400X | 3892040001 | CA | |
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
529 S Alvarado St
Los Angeles, CA 90057-2903
Mailing address
529 S Alvarado St
Los Angeles, CA 90057-2903
Phone (213) 383-4262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY55804 | Other | CA | CA STATE BOARD OF PHARMACY |
Other names 1
- Westlake Pharmacy
National Provider Directory
National Provider DirectoryLocations
529 S Alvarado St
Los Angeles, CA 90057
Phone (213) 383-4262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569974400000",
"number": "1366478992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 S ALVARADO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572903",
"telephone_number": "213-383-4262",
"fax_number": "213-383-4263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 S ALVARADO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572903",
"telephone_number": "213-383-4262",
"fax_number": "213-383-4263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTLAKE MEDICAL MANAGEMENT INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2019-10-02",
"status": "A",
"authorized_official_last_name": "BLUMKIN",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "213-383-4262",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": "CA",
"license": "3892040001",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA STATE BOARD OF PHARMACY",
"identifier": "PHY55804",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Westlake Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Westlake Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.