Lionel B Katchem, D.O., a Prof. Corp.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

20A4524 Issued in CA

Legal business name

LIONEL B KATCHEM, D.O., A PROF. CORP.

Practice address

1246 E Arrow Hwy Ste B
Upland, CA 91786-4955

Phone

(909) 373-0381

NPI assigned

Mar 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lionel Bernard Katchem, D.O.

Title

President

Phone

(909) 373-0381

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1427019397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 E ARROW HWY STE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 E ARROW HWY STE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864955",
            "telephone_number": "909-373-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIONEL B KATCHEM, D.O., A PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-30",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "KATCHEM",
        "authorized_official_first_name": "LIONEL",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-373-0381",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "20A4524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Upland, CA
• Providers in Upland, 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 Jul 1, 2010; 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.