La Jolla Emergency Enterprises, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A61433 Issued in CA

Legal business name

LA JOLLA EMERGENCY ENTERPRISES, INC.

Practice address

1101 N. Pacific Ave.
Suite 104
Glendale, CA 91202-4313

Phone

(818) 552-5000

Fax

(818) 956-0990

NPI assigned

Sep 13, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Talal Abdullah Al-Quraini, MDNPI 1316955446

Title

President/Owner

Phone

(858) 361-8004

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Talal Al Quraini, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Chula Vista, CA
  • NPI 1316955446
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1447532650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 CARDENO DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920376924",
            "telephone_number": "858-361-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N. PACIFIC AVE.",
            "address_2": "SUITE 104",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912024313",
            "telephone_number": "818-552-5000",
            "fax_number": "818-956-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA JOLLA EMERGENCY ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "AL-QURAINI",
        "authorized_official_first_name": "TALAL",
        "authorized_official_middle_name": "ABDULLAH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "858-361-8004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.