Caligenix PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A133046 Issued in CA

Legal business name

CALIGENIX PC

Practice address

11611 San Vicente Blvd
Ste L1
Los Angeles, CA 90049-5106

Phone

(310) 273-3888

NPI assigned

Jan 27, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Aunna Pourang, MD

Title

Medical Director

Phone

(424) 265-9355

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1588021158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11611 SAN VICENTE BLVD",
            "address_2": "STE L1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11611 SAN VICENTE BLVD",
            "address_2": "STE L1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495106",
            "telephone_number": "310-273-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIGENIX PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "POURANG",
        "authorized_official_first_name": "AUNNA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "424-265-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A133046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• California Tech Labs Inc
• California Therapy Services LLC
• California Trading & Services L.L.C
• California Trauma Medical Associates Inc
• California Wound Health PC
• Caliman Medical Services
• Vanina Calina
• Manna Liza D Calisin
• Calitesting LLC
• Caliway Hospice Care

• Primary Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.