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Organization Active NPI Pediatrics Physician · Commerce, CA

NPI 1588097315 · NPPES record last updated Aug 15, 2013

Key facts

NPI
1588097315
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
COUNTY OF LOS ANGELES
Practice address
5555 Ferguson Dr
Commerce, CA 90022-5164
Phone
(323) 890-7509
NPI assigned
Aug 15, 2013
Organization subpart
No

Authorized official

Name
Art Bernal
Title
Cbo Manager
Phone
(323) 890-7775

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Usc Caruso Department Otolaryngology-Head and Neck Surgery (612 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208000000X Yes

Addresses

Primary practice location

5555 Ferguson Dr
Commerce, CA 90022-5164

Mailing address

1333 Chestnut Ave
Long Beach, CA 90813-2944

Other names

  • Long Beach Comp. Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 15, 2013.

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1588097315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 CHESTNUT AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908132944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 FERGUSON DR",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900225164",
            "telephone_number": "323-890-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LOS ANGELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "BERNAL",
        "authorized_official_first_name": "ART",
        "authorized_official_title_or_position": "CBO MANAGER",
        "authorized_official_telephone_number": "323-890-7775"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Beach Comp. Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Commerce, CA

All providers in Commerce, CA · Pediatrics Physician in California

Sources for this page

Verify at the official NPI Registry.