Active NPI
Medical Resource Inc
Doing business as Mobile Medical Resource Inc
- Internal Medicine Physician
- Lakewood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A70389
- Legal business name
- MEDICAL RESOURCE INC
- Doing business as
- Mobile Medical Resource Inc
- Practice address
- 5150 Candlewood St
Suite 9E
Lakewood, CA 90712-1925 - Phone
- (562) 920-9200
- NPI assigned
- Sep 10, 2014
- Last updated
- Mar 13, 2015
- 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
- Winifred Williams, M.D.
- Title
- Physician
- Phone
- (323) 434-0434
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A70389 | CA | Primary |
| Pediatrics Physician | 208000000X | A70389 | CA |
Addresses
Primary practice location
5150 Candlewood St
Suite 9E
Lakewood, CA 90712-1925
Mailing address
5150 Candlewood St
Suite 9E
Lakewood, CA 90712-1925
Phone (562) 920-9200
Other names 1
- Mobile Medical Resource Inc
National Provider Directory
National Provider DirectoryLocations
5150 Candlewood St
Ste 6A
Lakewood, CA 90712
Phone (562) 920-9200
5150 Candlewood St
Ste 9E
Lakewood, CA 90712
Phone (562) 920-9200
Practitioners & affiliated clinicians
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.
-
- Internal Medicine Physician
- Canoga Park, CA
- NPI 1982788253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426204800000",
"number": "1558762484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 CANDLEWOOD ST",
"address_2": "SUITE 9E",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907121925",
"telephone_number": "562-920-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5150 CANDLEWOOD ST",
"address_2": "SUITE 9E",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907121925",
"telephone_number": "562-920-9200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL RESOURCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-10",
"last_updated": "2015-03-13",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "WINIFRED",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "323-434-0434",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A70389",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A70389",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mobile Medical Resource Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.