Motion Picture and Television Fund Medical Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MOTION PICTURE AND TELEVISION FUND MEDICAL GROUP INC

Practice address

1950 Sawtelle Blvd
Ste 130
Los Angeles, CA 90025-7014

Phone

(310) 996-9355

Fax

(818) 876-1516

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Seth Ellis

Title

VP Chief Operating Officer

Phone

(818) 876-1079

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WESTSIDE HEALTH CENTER Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1619994449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23388 MULHOLLAND DR",
            "address_2": "MAILSTOP 62",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642733",
            "telephone_number": "818-876-1636",
            "fax_number": "818-876-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SAWTELLE BLVD",
            "address_2": "STE 130",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257014",
            "telephone_number": "310-996-9355",
            "fax_number": "818-876-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTION PICTURE AND TELEVISION FUND MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "VP CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "818-876-1079",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ09388Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTSIDE HEALTH CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Ana Motino Torres
• Motion Picture and Television Fund Medical Group Inc
• Sarosh Motivala, PHD
• Motivate Home Health Inc
• Motivational Recovery Services
• Motivational Recovery Services, Inc.

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, 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 Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.