NPIMap

Organization Active NPI

Varicose Relief Inc

Doing business as Ktown Medspa & Varicose Relief

  • Pulmonary Disease Physician
  • Los Angeles, CA
National Provider Identifier
1447740493
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G86162 Issued in CA
Legal business name
VARICOSE RELIEF INC
Doing business as
Ktown Medspa & Varicose Relief
Practice address
3130 W Olympic Blvd
Suite 360
Los Angeles, CA 90006-2484
Phone
(323) 733-1004
Fax
(323) 733-1003
NPI assigned
May 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Authorized official

Name
Mr. Hossein Babaali, M.D.NPI 1699790584
Title
M.D./Ceo
Phone
(310) 367-3268

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0200X G86162 CA
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X G86162 CA Primary
Multi-Specialty Clinic/Center 261QM1300X G86162 CA

Addresses

Primary practice location

3130 W Olympic Blvd
Suite 360
Los Angeles, CA 90006-2484

Mailing address

3130 W Olympic Blvd
Suite 360
Los Angeles, CA 90006-2484
Phone (323) 733-1004

Other names 1

  • Ktown Medspa & Varicose Relief Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ktown Medspa Varicose Relief2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1447740493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 W OLYMPIC BLVD",
            "address_2": "SUITE 360",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062484",
            "telephone_number": "323-733-1004",
            "fax_number": "323-733-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 W OLYMPIC BLVD",
            "address_2": "SUITE 360",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062484",
            "telephone_number": "323-733-1004",
            "fax_number": "323-733-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARICOSE RELIEF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "BABAALI",
        "authorized_official_first_name": "HOSSEIN",
        "authorized_official_title_or_position": "M.D./CEO",
        "authorized_official_telephone_number": "310-367-3268",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G86162",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G86162",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "G86162",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ktown Medspa & Varicose Relief",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 15, 2018; 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.