Health Link Medical Group Inc

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

HEALTH LINK MEDICAL GROUP INC

Practice address

1125 S Beverly Dr Ste 720
Los Angeles, CA 90035-1180

Phone

(410) 929-9790

Fax

(424) 288-4205

NPI assigned

May 19, 2017

Organization subpart

Yes

Parent organization

HEALTH LINK MEDICAL GROUP INCAs reported in NPPES

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

Authorized official

Name

Jacob Flores, MD

Title

Chief Medical Officer

Phone

(760) 721-4000

Specialties & licenses 1

Addresses

Part of

Health Link Medical Group Inc

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495152000000",
    "number": "1447787569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR STE 720",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351180",
            "telephone_number": "410-929-9790",
            "fax_number": "424-288-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR STE 720",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351180",
            "telephone_number": "410-929-9790",
            "fax_number": "424-288-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH LINK MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH LINK MEDICAL GROUP INC",
        "enumeration_date": "2017-05-19",
        "last_updated": "2017-05-19",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "760-721-4000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Medicine (Orthopaedic Surgery) Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2017; 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.