Organization Active NPI

Testing Hollywood

  • Registered Nurse
  • Sunland, CA
National Provider Identifier
1578148029
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
TESTING HOLLYWOOD
Practice address
9545 Wentworth St
Sunland, CA 91040-1626
Phone
(323) 767-9555
NPI assigned
Mar 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Ms. Marla Robin Fidler, RN
Title
Owner
Phone
(323) 767-9555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

9545 Wentworth St
Sunland, CA 91040-1626

Mailing address

1140 N Formosa Ave Apt 8
West Hollywood, CA 90046-5994
Phone (310) 880-8707

Other practice location 1

6209 Santa Monica Blvd Fl 2D
Los Angeles, CA 90038-1703
Phone (310) 880-8707

National Provider Directory

National Provider Directory

Locations

6209 Santa Monica Blvd
Fl 2D
Los Angeles, CA 90038
Phone (310) 880-8707

9545 Wentworth St
Sunland, CA 91040
Phone (323) 767-9555

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1578148029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 N FORMOSA AVE APT 8",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465994",
            "telephone_number": "310-880-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9545 WENTWORTH ST",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910401626",
            "telephone_number": "323-767-9555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6209 Santa Monica Blvd Fl 2D",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900381703",
            "country_code": "US",
            "telephone_number": "310-880-8707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TESTING HOLLYWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "FIDLER",
        "authorized_official_first_name": "MARLA",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-767-9555",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.