Sepulveda Physical Medicine

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

800326306 Issued in CA

Legal business name

SEPULVEDA PHYSICAL MEDICINE

Practice address

8632 S Sepulveda Blvd
Westchester, CA 90045-4015

Phone

(310) 348-8298

Fax

(310) 348-8299

NPI assigned

Apr 28, 2017

Last updated

Apr 28, 2017By 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

George Harraka, DCNPI 1619042116

Title

Owner

Phone

(310) 348-8298

Specialties & licenses 2

Addresses

Locations

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.

• George James Harraka, D.C.

  • Chiropractor
  • Westchester, CA
  • NPI 1619042116
  Authorized official Same address or phone

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1467987222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8632 S SEPULVEDA BLVD",
            "city": "WESTCHESTER",
            "state": "CA",
            "postal_code": "900454015",
            "telephone_number": "310-348-8298",
            "fax_number": "310-348-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8632 S SEPULVEDA BLVD",
            "city": "WESTCHESTER",
            "state": "CA",
            "postal_code": "900454015",
            "telephone_number": "310-348-8298",
            "fax_number": "310-348-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEPULVEDA PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "HARRAKA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-348-8298",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "223474076",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "800326306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anchalee Sorayuth Parker
• Playa Nursing & Health Services Corporation
• Kelly A Rodriguez
• Irene Rojo
• Sage, Bina, Korouri Dental Office of la Tijera, Inc. (PHD Dental of Westchester)
• Sepulveda Physical Medicine Center
• Michael Shleyfer, M.A. CCC-A
• Speech Like Honey Speech Therapy Inc.
• Splash Physical Therapy Inc (Water Physical Therapy Specialists Inc)
• Donald Lee Stokes, DC

• Surgery Physician in Westchester, CA
• Providers in Westchester, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.