Organization Active NPI

K.Ishikawa MD, a Professional Corporation

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1679652978
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A34374 Issued in CA
Legal business name
K.ISHIKAWA MD, A PROFESSIONAL CORPORATION
Practice address
250 E 1St St
#812
Los Angeles, CA 90012-3811
Phone
(213) 617-0138
Fax
(213) 617-0109
NPI assigned
Nov 6, 2006
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
Koichi Ishikawa, M.D.
Title
Owner
Phone
(213) 617-0138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A34374 CA Primary

Addresses

Primary practice location

250 E 1St St
#812
Los Angeles, CA 90012-3811

Mailing address

250 E 1St St
#812
Los Angeles, CA 90012-3811
Phone (213) 617-0138

National Provider Directory

National Provider Directory

Locations

250 E 1st St
Ste 812
Los Angeles, CA 90012
Phone (213) 617-0138

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679652978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E 1ST ST",
            "address_2": "#812",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900123811",
            "telephone_number": "213-617-0138",
            "fax_number": "213-617-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E 1ST ST",
            "address_2": "#812",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900123811",
            "telephone_number": "213-617-0138",
            "fax_number": "213-617-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.ISHIKAWA MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ISHIKAWA",
        "authorized_official_first_name": "KOICHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-617-0138",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A34374",
            "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 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.