Active NPI
Patima Medical Center, Inc
- General Practice Physician
- Los Angeles, CA
National Provider Identifier
1386048098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- PATIMA MEDICAL CENTER, INC
- Practice address
- 505 Shatto PL
#200
Los Angeles, CA 90020-1754 - Phone
- (213) 736-0450
- NPI assigned
- Oct 9, 2014
- 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
- Hui Wu, MD
- Title
- Ceo
- Phone
- (213) 736-0450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
505 Shatto PL
#200
Los Angeles, CA 90020-1754
Mailing address
505 Shatto PL
#200
Los Angeles, CA 90020-1754
Phone (213) 736-0450
National Provider Directory
National Provider DirectoryLocations
505 Shatto Pl
Ste 200
Los Angeles, CA 90020
Phone (213) 736-0450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415318400000",
"number": "1386048098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 SHATTO PL",
"address_2": "#200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201754",
"telephone_number": "213-736-0450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 SHATTO PL",
"address_2": "#200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201754",
"telephone_number": "213-736-0450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATIMA MEDICAL CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-09",
"last_updated": "2014-11-07",
"status": "A",
"authorized_official_last_name": "WU",
"authorized_official_first_name": "HUI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "213-736-0450",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"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 Nov 7, 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.