Organization Active NPI

John J.R., M.D., a Medical Corporation

  • Otolaryngology/Facial Plastic Surgery Physician
  • Manhattan Beach, CA
National Provider Identifier
1679615496
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
A25323 Issued in CA
Legal business name
JOHN J.R., M.D., A MEDICAL CORPORATION
Practice address
2809 N Sepulveda Blvd
Manhattan Beach, CA 90266-2727
Phone
(310) 796-4509
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Rehm, M.D.
Title
President
Phone
(310) 796-4509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X A25323 CA Primary

Addresses

Primary practice location

2809 N Sepulveda Blvd
Manhattan Beach, CA 90266-2727

Mailing address

210 Anderson St
Manhattan Beach, CA 90266-6610
Phone (310) 796-4509

Other names 1

  • John Joseph Rehm, M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

8631 W 3rd St
#625E
Los Angeles, CA 90048
Phone (310) 657-0123

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679615496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 ANDERSON ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666610",
            "telephone_number": "310-796-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 N SEPULVEDA BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662727",
            "telephone_number": "310-796-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J.R., M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REHM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-796-4509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "A25323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Joseph Rehm, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manhattan Beach, CA

Sources for this page

  • 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.