Intercare Health Systems Inc

Primary specialty

Institutional PharmacyTaxonomy code 3336I0012X

License

HSP43766 Issued in CA

Legal business name

INTERCARE HEALTH SYSTEMS INC

Doing business as

City of Angels Med Ctr Phcy

Practice address

1711 W Temple St
Los Angeles, CA 90026-5421

Phone

(213) 484-3580

Fax

(213) 484-3532

NPI assigned

Apr 25, 2007

Last updated

Jul 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mai Thai

Title

Director of Pharmacy

Phone

(213) 484-3501

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• CITY OF ANGELS MED CTR PHCY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aida Karoun Rechdouni, M.D.

  • Anatomic Pathology Physician
  • La Crescenta, CA
  • NPI 1699814533

  Clinical Medical Laboratory

  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1679792766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "213-484-3580",
            "fax_number": "213-484-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "213-484-3580",
            "fax_number": "213-484-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERCARE HEALTH SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "THAI",
        "authorized_official_first_name": "MAI",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "213-484-3501"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "CA",
            "license": "HSP43766",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40275F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30725",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5600057",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITY OF ANGELS MED CTR PHCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Intense Hospice Inc
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• Interactive Healthcare Medical Group PC
• Intercare Health Systems Inc (City of Angels Medical Center)
• Intercare Therapy, Inc.
• Intercede Health of California
• Interconnection Center Inc.
• Intergrated Home Health Care Inc
• Alexander Luis Interiano, MSN, APRN, NP

• Institutional Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Institutional Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.