Active NPI
Ghomri Health Care Inc
- Interventional Pain Medicine Physician
- Glendale, CA
National Provider Identifier
1508338765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- GHOMRI HEALTH CARE INC
- Practice address
- 1100 E Broadway Ste 301
Glendale, CA 91205-1380 - Phone
- (310) 971-4757
- Fax
- (855) 795-4464
- NPI assigned
- Dec 27, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yashar Ghomri, DO
- Title
- Medical Director
- Phone
- (310) 971-4757
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
1100 E Broadway Ste 301
Glendale, CA 91205-1380
Mailing address
1100 E Broadway Ste 301
Glendale, CA 91205-1380
Phone (310) 971-4757
Other names 1
- Los Angeles Pain Insitute
National Provider Directory
National Provider DirectoryLocations
1100 E Broadway
Ste 301
Glendale, CA 91205
Phone (310) 971-4757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545868800000",
"number": "1508338765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 E BROADWAY STE 301",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051380",
"telephone_number": "310-971-4757",
"fax_number": "855-795-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E BROADWAY STE 301",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051380",
"telephone_number": "310-971-4757",
"fax_number": "855-795-4464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GHOMRI HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-27",
"last_updated": "2018-12-27",
"status": "A",
"authorized_official_last_name": "GHOMRI",
"authorized_official_first_name": "YASHAR",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "310-971-4757",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Los Angeles Pain Insitute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.