Pfupajena MD Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G29345 Issued in CA

Legal business name

PFUPAJENA MD GROUP INC

Practice address

7538 Laurel Canyon Blvd
N Hollywood, CA 91605-3148

Phone

(213) 924-3535

NPI assigned

Jan 22, 2018

Organization subpart

No

Name

Dr. Howard T Pfupajena, M.D.

Title

Ceo

Phone

(213) 924-3535

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 22, 2018.

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1417465634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7538 LAUREL CANYON BLVD",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "916053148",
            "telephone_number": "213-924-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7538 LAUREL CANYON BLVD",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "916053148",
            "telephone_number": "213-924-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PFUPAJENA MD GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "PFUPAJENA",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-924-3535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G29345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in N Hollywood, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.