Organization Active NPI

The Wall Las Memorias

  • Community Health Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1649086166
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
THE WALL LAS MEMORIAS
Practice address
2020 E 1St St
Los Angeles, CA 90033-3916
Phone
(323) 257-1056
Fax
(323) 529-0200
NPI assigned
Dec 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Mr. Richard L. Zaldivar
Title
Executive Director/Founder
Phone
(323) 257-1056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

2020 E 1St St
Los Angeles, CA 90033-3916

Mailing address

800 W 6TH St Ste 750
Los Angeles, CA 90017-2747
Phone (323) 257-1056

Other practice location 1

333 S Spring St Ste F5
Los Angeles, CA 90013-1229
Phone (323) 257-1056

Other practice location 2

800 W 6th St Ste 750
Los Angeles, CA 90017-2747
Phone (323) 257-1056

National Provider Directory

National Provider Directory

Locations

800 W 6th St
Ste 750
Los Angeles, CA 90017
Phone (323) 257-1056

333 S Spring St
Ste F5
Los Angeles, CA 90013
Phone (323) 257-1056

2020 E 1st St
Los Angeles, CA 90033
Phone (323) 257-1056

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1649086166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W 6TH ST STE 750",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172747",
            "telephone_number": "323-257-1056",
            "fax_number": "323-529-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E 1ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900333916",
            "telephone_number": "323-257-1056",
            "fax_number": "323-529-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 S Spring St Ste F5",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900131229",
            "country_code": "US",
            "telephone_number": "323-257-1056",
            "fax_number": "323-529-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 W 6th St Ste 750",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900172747",
            "country_code": "US",
            "telephone_number": "323-257-1056",
            "fax_number": "323-529-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE WALL LAS MEMORIAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "ZALDIVAR",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/FOUNDER",
        "authorized_official_telephone_number": "323-257-1056",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.