Active NPI
Elizabeth McCallum Munzig, D.O.
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1649591876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 20A11159
- Practice address
- 2250 Alcazar St
CSC 2200
Los Angeles, CA 90089-0107 - Phone
- (323) 442-4001
- NPI assigned
- Jun 22, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 20A11159 | CA | Primary |
Addresses
Primary practice location
2250 Alcazar St
CSC 2200
Los Angeles, CA 90089-0107
Mailing address
2250 Alcazar St
CSC 2200
Los Angeles, CA 90089-0107
Phone (323) 442-4046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A11159 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277164800000",
"number": "1649591876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 ALCAZAR ST",
"address_2": "CSC 2200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900890107",
"telephone_number": "323-442-4046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 ALCAZAR ST",
"address_2": "CSC 2200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900890107",
"telephone_number": "323-442-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNZIG",
"first_name": "ELIZABETH",
"middle_name": "MCCALLUM",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-22",
"last_updated": "2010-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "20A11159",
"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 Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.