Organization Active NPI

Angelus Medical Clinic Multi Specialty Group Inc

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1447502885
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ANGELUS MEDICAL CLINIC MULTI SPECIALTY GROUP INC
Practice address
3444 Whittier Blvd
Los Angeles, CA 90023-1708
Phone
(323) 264-2670
Fax
(213) 377-5738
NPI assigned
Oct 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Mrs. Nehzat Nikakhtar, M.D.
Title
President
Phone
(323) 264-2670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3444 Whittier Blvd
Los Angeles, CA 90023-1708

Mailing address

3444 Whittier Blvd Ste a
Los Angeles, CA 90023-1708
Phone (323) 264-2670

National Provider Directory

National Provider Directory

Locations

3444 Whittier Blvd
Ste A
Los Angeles, CA 90023
Phone (323) 264-2670

NPI Registry JSON

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1447502885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 WHITTIER BLVD STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231708",
            "telephone_number": "323-264-2670",
            "fax_number": "323-264-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231708",
            "telephone_number": "323-264-2670",
            "fax_number": "213-377-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELUS MEDICAL CLINIC MULTI SPECIALTY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "NIKAKHTAR",
        "authorized_official_first_name": "NEHZAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-264-2670",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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 Jan 25, 2022; 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.