Active NPI
Quality of Life Medicine PC
- Rehabilitation Clinic/Center
- Los Angeles, CA
National Provider Identifier
1437965381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- QUALITY OF LIFE MEDICINE PC
- Practice address
- 11400 W Olympic Blvd Ste 200
Los Angeles, CA 90064 - Phone
- (609) 933-1270
- NPI assigned
- Dec 5, 2024
- 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
- Dr. Alicia Roldan, DO
- Title
- President
- Phone
- (609) 933-1270
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
11400 W Olympic Blvd Ste 200
Los Angeles, CA 90064
Mailing address
1501 Lincoln Blvd # 1232
Venice, CA 90291-3503
Phone (609) 933-1270
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Glendale, CA
- NPI 1891303871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733356800000",
"number": "1437965381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 LINCOLN BLVD # 1232",
"city": "VENICE",
"state": "CA",
"postal_code": "902913503",
"telephone_number": "609-933-1270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11400 W OLYMPIC BLVD STE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90064",
"telephone_number": "609-933-1270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITY OF LIFE MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-05",
"last_updated": "2024-12-05",
"certification_date": "2024-11-13",
"status": "A",
"authorized_official_last_name": "ROLDAN",
"authorized_official_first_name": "ALICIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "609-933-1270",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"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 Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.