Active NPI
Prince O. Oppong
- Contractor
- Los Angeles, CA
National Provider Identifier
1518188978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 102222
- Practice address
- 7404 S Western Ave
Los Angeles, CA 90047-2427 - Phone
- (213) 864-0673
- NPI assigned
- May 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 102222 | CA | Primary |
Addresses
Primary practice location
7404 S Western Ave
Los Angeles, CA 90047-2427
Mailing address
7404 S Western Ave
Los Angeles, CA 90047-2427
Phone (213) 864-0673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102222 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518188978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7404 S WESTERN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900472427",
"telephone_number": "213-864-0673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7404 S WESTERN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900472427",
"telephone_number": "213-864-0673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPPONG",
"first_name": "PRINCE",
"middle_name": "O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "CA",
"license": "102222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- William Oppenheim, M.D.
- Marian Ehrich Oppenheimer, PHD
- Robert J Oppenheimer, LCSW
- Scott Oppenheimer
- Sharonda Afia Oppong-Addae, MSSLP
- Opportunity Baptist Church, Inc. (Opportunity BAPTIST COMMUNITY SERVICES)
- Opportunity Medical
- Optical Outlook Inc.
- Optimal Foot and Ankle Institute
- Optimal Health of Ca III,LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.