Luz a. Herrera Physician Assistant Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

PA22843 Issued in CA

Legal business name

LUZ A. HERRERA PHYSICIAN ASSISTANT INC

Practice address

3855 W 105TH St
Inglewood, CA 90303-1812

Phone

(310) 922-1096

NPI assigned

Jun 2, 2014

Last updated

Jun 2, 2014By 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

Luz A Herrera, PA-C

Title

Director

Phone

(310) 922-1096

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1467864991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 W 105TH ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903031812",
            "telephone_number": "310-922-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 W 105TH ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903031812",
            "telephone_number": "310-922-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZ A. HERRERA PHYSICIAN ASSISTANT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-922-1096",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "PA22843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.