Active NPI
The Wall Las Memorias
- Community Health Clinic/Center
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Rehabilitation Practitioner
- Long Beach, CA
- NPI 1285821454
-
- Research Study Specialist
- Long Beach, CA
- NPI 1093099632
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": []
}
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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.