Promed Service Center Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PROMED SERVICE CENTER INC.

Practice address

4910 Castana Ave
Lakewood, CA 90712-3234

Phone

(562) 531-6140

NPI assigned

Nov 4, 2018

Organization subpart

No

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

Authorized official

Name

Sam AbdelmelekNPI 1649414855

Title

Provider

Phone

(800) 742-8062

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sam W. Abdelmelek, MD

  • Internal Medicine Physician
  • Lakewood, CA
  • NPI 1649414855
  NPD Authorized official

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

{
    "created_epoch": "1541289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1578031910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1598",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907231598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 CASTANA AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907123234",
            "telephone_number": "562-531-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED SERVICE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-04",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "ABDELMELEK",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "800-742-8062"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prohealth Partners a Medical Group Inc
• Prohealth Partners a Medical Group Inc
• Prohealth Partners, a Medical Group
• Prohealth Partners, a Medical Group
• Prohealth Partners, a Medical Group, Inc.
• Prophetic Management LLC
• Diamond Pruitt
• Erica Maria Pueblos
• Christian Pumphery
• Suppakorn Puranachoti

• Internal Medicine Physician in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.