Organization Active NPI

Memory Rehabilitation Medical Group Inc

  • Family Medicine Physician
  • Bellflower, CA
National Provider Identifier
1578000733
Registry record updated Jul 3, 2017
On this page

Key facts

NPPES NPI Registry
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

NPPES NPI Registry

Updated by the provider on Jul 3, 2017

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

Authorized official

Name
Daniel M Rose, M.D.
Title
M.D.
Phone
(714) 345-8427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A044506 CA Primary

Addresses

Primary practice location

9461 Flower Street
Bellflower, CA 90760-5705

Mailing address

9461 Flower Street
Bellflower, CA 90760-5705
Phone (714) 345-8427

National Provider Directory

National Provider Directory

NPI Registry JSON

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": []
}

Other providers in Bellflower, CA

Sources for this page

  • 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.