NPIMap

Organization Active NPI

Noalab Medical Clinic Inc

  • General Practice Physician
  • North Hollywood, CA
National Provider Identifier
1619226347
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A30092 Issued in CA
Legal business name
NOALAB MEDICAL CLINIC INC
Practice address
6428 Coldwater Canyon Ave
North Hollywood, CA 91606-1113
Phone
(818) 308-6440
Fax
(818) 308-6351
NPI assigned
Sep 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Authorized official

Name
Dr. Jihad S Al-Imami, M.D.
Title
President/Ceo
Phone
(818) 308-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A30092 CA Primary

Addresses

Primary practice location

6428 Coldwater Canyon Ave
North Hollywood, CA 91606-1113

Mailing address

6428 Coldwater Canyon Ave
North Hollywood, CA 91606-1113
Phone (818) 308-6440

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1619226347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6428 COLDWATER CANYON AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061113",
            "telephone_number": "818-308-6440",
            "fax_number": "818-308-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6428 COLDWATER CANYON AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061113",
            "telephone_number": "818-308-6440",
            "fax_number": "818-308-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOALAB MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "AL-IMAMI",
        "authorized_official_first_name": "JIHAD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-308-6440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A30092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.