NPIMap

Organization Active NPI

Alj Medical Group, Inc.

  • Family Medicine Physician
  • North Hollywood, CA
National Provider Identifier
1659601870
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G43207 Issued in CA
Legal business name
ALJ MEDICAL GROUP, INC.
Practice address
10545 Burbank Blvd
112
North Hollywood, CA 91601-2245
Phone
(818) 979-4962
Fax
(818) 760-1415
NPI assigned
Jan 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Authorized official

Name
Anthony Jackson, M.D.
Title
President
Phone
(818) 979-4962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X G43207 CA Primary

Addresses

Primary practice location

10545 Burbank Blvd
112
North Hollywood, CA 91601-2245

Mailing address

10545 Burbank Blvd
112
North Hollywood, CA 91601-2245
Phone (818) 979-4962

National Provider Directory

National Provider Directory

Locations

10545 Burbank Blvd
Ste 112
North Hollywood, CA 91601
Phone (818) 979-4962

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1659601870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10545 BURBANK BLVD",
            "address_2": "112",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012245",
            "telephone_number": "818-979-4962",
            "fax_number": "818-760-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10545 BURBANK BLVD",
            "address_2": "112",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012245",
            "telephone_number": "818-979-4962",
            "fax_number": "818-760-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALJ MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-979-4962",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G43207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.

Verify at the official NPI Registry.