Active NPI
Gloria Julissa Munoz
- Case Manager/Care Coordinator
- Los Angeles, CA
National Provider Identifier
1457531980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1224 Vine St
Los Angeles, CA 90038-1612 - Phone
- (323) 769-6100
- NPI assigned
- Nov 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Rehabilitation Practitioner | 225400000X |
Addresses
Primary practice location
1224 Vine St
Los Angeles, CA 90038-1612
Mailing address
5715 S Broadway
Los Angeles, CA 90037-4131
Phone (323) 948-0444
Other practice location 1
5715 S Broadway
Los Angeles, CA 90037-4131
Phone (323) 948-0444 ext. 100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1457531980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5715 S BROADWAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900374131",
"telephone_number": "323-948-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 VINE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900381612",
"telephone_number": "323-769-6100"
}
],
"practiceLocations": [
{
"address_1": "5715 S Broadway",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900374131",
"country_code": "US",
"telephone_number": "323-948-0444 x100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUNOZ",
"first_name": "GLORIA",
"middle_name": "JULISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-13",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"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 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.