Organization Active NPI

Matrix Clinical Research

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1417516444
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MATRIX CLINICAL RESEARCH
Practice address
1919 W 7TH St FL 2
Los Angeles, CA 90057-4103
Phone
(310) 424-5922
Fax
(323) 983-4646
NPI assigned
Jun 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Authorized official

Name
Mr. Stan Gershovich
Title
Director, Site Operations
Phone
(310) 424-5922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1919 W 7TH St FL 2
Los Angeles, CA 90057-4103

Mailing address

1919 W 7TH St FL 2
Los Angeles, CA 90057-4103
Phone (310) 424-5922

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1417516444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 W 7TH ST FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574103",
            "telephone_number": "310-424-5922",
            "fax_number": "323-983-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 W 7TH ST FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574103",
            "telephone_number": "310-424-5922",
            "fax_number": "323-983-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX CLINICAL RESEARCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "GERSHOVICH",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "DIRECTOR, SITE OPERATIONS",
        "authorized_official_telephone_number": "310-424-5922",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "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 Jun 12, 2019; 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.