Active NPI
Cosmos Health Solutions, LLC
- Medical Specialty Clinic/Center
- Tustin, CA
National Provider Identifier
1396320206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- COSMOS HEALTH SOLUTIONS, LLC
- Practice address
- 13552 Newport Ave
Tustin, CA 92780-3729 - Phone
- (833) 526-7667
- NPI assigned
- Mar 11, 2021
- 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
- Miss Laura Rodriguez
- Title
- Office Manager
- Phone
- (818) 797-8345
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
13552 Newport Ave
Tustin, CA 92780-3729
Mailing address
13552 Newport Ave
Tustin, CA 92780-3729
Phone (833) 526-7667
National Provider Directory
National Provider DirectoryLocations
13552 Newport Ave
Tustin, CA 92780
Phone (833) 526-7667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620000000000",
"number": "1396320206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13552 NEWPORT AVE",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803729",
"telephone_number": "833-526-7667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13552 NEWPORT AVE",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803729",
"telephone_number": "833-526-7667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COSMOS HEALTH SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-11",
"last_updated": "2021-05-03",
"certification_date": "2021-04-29",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "818-797-8345",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.