Boston Medical Group California, L.L.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

BOSTON MEDICAL GROUP CALIFORNIA, L.L.C.

Practice address

9911 W. Pico Blvd
Suite 1215
Los Angeles, CA 90035

Phone

(310) 843-9125

Fax

(310) 843-9169

NPI assigned

Mar 25, 2014

Organization subpart

No

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

Authorized official

Name

Marianne Labarbera, M.D,

Title

Medical Director

Phone

(718) 981-4070

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1457778763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9911 W. PICO BLVD",
            "address_2": "SUITE 1215",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90035",
            "telephone_number": "310-843-9125",
            "fax_number": "310-843-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9911 W. PICO BLVD",
            "address_2": "SUITE 1215",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90035",
            "telephone_number": "310-843-9125",
            "fax_number": "310-843-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON MEDICAL GROUP CALIFORNIA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "LABARBERA",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-981-4070",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jockeyah Shaneese Bostick
• Boston Brace International Inc.
• Boston Child Study Center Los Angeles Licensed Clinical Social Work SE
• Boston Child Study Center Psychology Services
• Boston Lesjak LLC
• Darryl Eugene Boston, BASW
• Karen Alicia Boston, M.D.
• Jerry Bostre
• Kristina I Bostrom, MD
• Jennifer Cunha Botelho, D.C.

• Urology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.