Dtla Med

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

DTLA MED

Doing business as

DTLA Med

Practice address

431 S Hewitt St Ste B
Los Angeles, CA 90013

Phone

(949) 677-0677

NPI assigned

May 1, 2018

Last updated

Jul 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ali Badday

Title

President

Phone

(949) 677-0677

Specialties & licenses 2

Addresses

Other names 1

• DTLA Med Doing business as

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1629567060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 S HEWITT ST STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900132215",
            "telephone_number": "949-677-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 S HEWITT ST STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90013",
            "telephone_number": "949-677-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DTLA MED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "BADDAY",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-677-0677"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DTLA Med",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shane Dsouza, PHARM.D.
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• Dtla Urgent Care Incorporated
• Ashley Du
• Austin Liu Du

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.