BMC Medical Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A46478 Issued in CA

Legal business name

BMC MEDICAL INC

Practice address

11126 S Main St
Los Angeles, CA 90061-1926

Phone

(323) 779-8398

NPI assigned

Mar 4, 2011

Organization subpart

No

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

Authorized official

Name

Emmanuel Ayodele, MD

Title

Ceo

Phone

(323) 779-8398

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1386942977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11126 S MAIN ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900611926",
            "telephone_number": "323-779-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11126 S MAIN ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900611926",
            "telephone_number": "323-779-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BMC MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "AYODELE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-779-8398",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A46478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619169406",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.