High-Tec Multispecialty Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

License

C3769329 Issued in CA

Legal business name

HIGH-TEC MULTISPECIALTY MEDICAL GROUP

Doing business as

Centro High-Tec De Especialidades Multiples

Practice address

5301 Whittier Blvd FL 4
Los Angeles, CA 90022-4043

Phone

(310) 289-8678

Fax

(323) 978-5163

NPI assigned

May 26, 2015

Last updated

May 26, 2015By 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 Avalos

Title

Office Manager

Phone

(323) 209-1177

Specialties & licenses 1

Addresses

Other names 1

• Centro High-Tec De Especialidades Multiples Doing business as

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1477932267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 SAN VICENTE BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485498",
            "telephone_number": "310-289-8678",
            "fax_number": "323-978-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 WHITTIER BLVD FL 4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900224043",
            "telephone_number": "310-289-8678",
            "fax_number": "323-978-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH-TEC MULTISPECIALTY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "AVALOS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "323-209-1177"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "C3769329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro High-Tec De Especialidades Multiples",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.