DJ MD Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DJ MD GROUP INC

Practice address

6051 Hollywood Blvd Ste 205
Los Angeles, CA 90028-5496

Phone

(562) 733-9789

NPI assigned

Jul 13, 2021

Organization subpart

No

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

Authorized official

Name

Thomas Dosumu-Johnson, MD

Title

Ceo

Phone

(562) 733-9789

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1659943207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 HOLLYWOOD BLVD STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900285496",
            "telephone_number": "562-733-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 HOLLYWOOD BLVD STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900285496",
            "telephone_number": "562-733-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJ MD GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "DOSUMU-JOHNSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-733-9789",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Dizon, RRT/RCP
• Lauren Brittany Dizon, MOT, OTR/L
• Manuel J Dizon, D.O.
• Sharon Dizon
• Susan Logrono Dizon
• Raffi Djabourian
• Hooman Djaladat, M.D.
• Parsa Djalilvand
• Djed Institute of Learning
• Mohsen Djilani, P.T.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.