Los Angeles Diabetes Associates, Inc.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

A74589 Issued in CA

Legal business name

LOS ANGELES DIABETES ASSOCIATES, INC.

Practice address

1701 E Cesar E Chavez Ave Ste 306
Los Angeles, CA 90033-2475

Phone

(626) 252-5559

NPI assigned

Sep 6, 2012

Last updated

Apr 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christian Gastelum, M.D.

Title

Owner / Physician

Phone

(626) 252-5559

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1396094207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86326",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900860326",
            "telephone_number": "626-252-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E CESAR E CHAVEZ AVE STE 306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332475",
            "telephone_number": "626-252-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES DIABETES ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "GASTELUM",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "626-252-5559",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A74589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Los Angeles Department of Medical Examiner-Coroner
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• Los Angeles Department of Mental Health
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• Los Angeles Diagnostics
• Los Angeles Dialysis Center
• Los Angeles Doctors Clinic
• Los Angeles Doctors Corp (Los Angeles Metropolitan Medical Center)
• Los Angeles Doctors Corp (Los Angeles Metropolitan Medical Center)

• Endocrinology, Diabetes & Metabolism Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.