Clinica del Cuidado Latino Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A28518 Issued in CA

Legal business name

CLINICA DEL CUIDADO LATINO MEDICAL GROUP INC

Practice address

3710 E Cesar E Chavez Ave
Los Angeles, CA 90063-2219

Phone

(323) 980-7777

Fax

(323) 980-7778

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Mohammad Rahim Shapoory, M.D.

Title

Dirctor

Phone

(323) 980-7777

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Clinica del Cuidado Latino2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rahim Shapoory M.D. Inc.

  • Otolaryngology Physician
  • Burbank, CA
  • NPI 1043395973
  NPD tax ID

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649348020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 E CESAR E CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632219",
            "telephone_number": "323-980-7777",
            "fax_number": "323-980-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 E CESAR E CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632219",
            "telephone_number": "323-980-7777",
            "fax_number": "323-980-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DEL CUIDADO LATINO MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAPOORY",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "RAHIM",
        "authorized_official_title_or_position": "DIRCTOR",
        "authorized_official_telephone_number": "323-980-7777",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A28518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A28518",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinica del Dr. Castillo Y Dr. Silva, Inc.. (Clinica del Dr Castillo Y Dr Silva)
• Clinica del Socorro Medical Group,Inc.
• Clinica Juan Pablo, Inc. (Clinica Juan Pablo Medical Group)
• Clinica Los Remedios Medical Group
• Clinica Los Remedios Pediatric Family Medical Clinic, Inc.

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.