NPIMap

Organization Active NPI

Angel City Healthcare, Inc

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1386883023
Registry record updated Feb 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANGEL CITY HEALTHCARE, INC
Practice address
425 S Fairfax Ave
Ste 225
Los Angeles, CA 90036-3541
Phone
(323) 601-1024
Fax
(323) 328-1735
NPI assigned
Feb 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2009

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

Authorized official

Name
Mr. Aleksey Muratov
Title
President
Phone
(323) 601-1024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

425 S Fairfax Ave
Ste 225
Los Angeles, CA 90036-3541

Mailing address

425 S Fairfax Ave
Ste 225
Los Angeles, CA 90036-3541
Phone (323) 601-1024

National Provider Directory

National Provider Directory

Locations

425 S Fairfax Ave
Ste 225
Los Angeles, CA 90036
Phone (323) 601-1024

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235779200000",
    "number": "1386883023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S FAIRFAX AVE",
            "address_2": "STE 225",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363541",
            "telephone_number": "323-601-1024",
            "fax_number": "323-328-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S FAIRFAX AVE",
            "address_2": "STE 225",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363541",
            "telephone_number": "323-601-1024",
            "fax_number": "323-328-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL CITY HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-28",
        "status": "A",
        "authorized_official_last_name": "MURATOV",
        "authorized_official_first_name": "ALEKSEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-601-1024",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 Feb 28, 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.