Elizabeth Remedios MD Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G55283 Issued in CA

Legal business name

ELIZABETH REMEDIOS MD INC

Practice address

423 W Colorado St
Glendale, CA 91204-1537

Phone

(818) 507-8022

Fax

(818) 507-8185

NPI assigned

Mar 30, 2010

Last updated

Dec 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Remedios, MDNPI 1639273105

Title

President

Phone

(818) 507-8022

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Remedios, MD

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1639273105
  Authorized official Same address or phone

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1457676793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900270206",
            "telephone_number": "213-385-0675",
            "fax_number": "213-365-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 W COLORADO ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041537",
            "telephone_number": "818-507-8022",
            "fax_number": "818-507-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH REMEDIOS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "REMEDIOS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-507-8022",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G55283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; 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.