Memory Rehabilitation Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A044506 Issued in CA

Legal business name

MEMORY REHABILITATION MEDICAL GROUP INC

Practice address

9461 Flower Street
Bellflower, CA 90760-5705

Phone

(714) 345-8427

NPI assigned

Jan 26, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel M Rose, M.D.NPI 1285668962

Title

M.D.

Phone

(714) 345-8427

Specialties & licenses 1

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.

• Daniel M. Rose, MD

  • Family Medicine Physician
  • Van Nuys, CA
  • NPI 1285668962
  Authorized official Same address or phone

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499040000000",
    "number": "1578000733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9461 FLOWER STREET",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907605705",
            "telephone_number": "714-345-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9461 FLOWER STREET",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907605705",
            "telephone_number": "714-345-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORY REHABILITATION MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-07-03",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "714-345-8427",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A044506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Medrano
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• Memorial Pathology Medical Group, Inc.
• Miriam Mendez Parra
• Brenda Mendez
• Julio Cesar Mendez, SUBSTANCE ABUSE COUN
• Delia Mendoza-Zesati, PA
• Pilar Mendoza

• Family Medicine Physician in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.