Organization Active NPI

Judith Reichman MD a Medical Corp

  • Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1467649723
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
A35620 Issued in CA
Legal business name
JUDITH REICHMAN MD A MEDICAL CORP
Practice address
2080 Century Park E
1009
Los Angeles, CA 90067-2001
Phone
(310) 659-9690
Fax
(310) 277-9690
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Judith Reichman, M.D.NPI 1396740908
Title
Owner
Phone
(310) 659-9690

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X A35620 CA Primary

Addresses

Primary practice location

2080 Century Park E
1009
Los Angeles, CA 90067-2001

Mailing address

2080 Century Park East
1009
Los Angeles, CA 90067
Phone (310) 659-9690

Other identifiers 1

IdentifierTypeStateIssuer
1396740908OtherCANPI

National Provider Directory

National Provider Directory

Locations

10921 Wilshire Blvd
Ste 703
Los Angeles, CA 90024
Phone (310) 659-9690

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": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1467649723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK EAST",
            "address_2": "1009",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90067",
            "telephone_number": "310-659-9690",
            "fax_number": "310-277-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "1009",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-659-9690",
            "fax_number": "310-277-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH REICHMAN MD A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "REICHMAN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-659-9690",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A35620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396740908",
            "state": "CA"
        }
    ],
    "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 Oct 12, 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.