Active NPI
Special Service for Groups
- Voluntary or Charitable Agency
- Los Angeles, CA
National Provider Identifier
1689053548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- SPECIAL SERVICE FOR GROUPS
- Practice address
- 5715 S Broadway
Los Angeles, CA 90037-4131 - Phone
- (323) 948-0444
- Fax
- (323) 948-0419
- NPI assigned
- May 26, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Henman
- Title
- Public Health Student
- Phone
- (323) 948-0444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | Primary |
Addresses
Primary practice location
5715 S Broadway
Los Angeles, CA 90037-4131
Mailing address
5715 S Broadway
Los Angeles, CA 90037-4131
Phone (323) 948-0444
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432598400000",
"number": "1689053548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5715 S BROADWAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900374131",
"telephone_number": "323-948-0444",
"fax_number": "323-948-0419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5715 S BROADWAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900374131",
"telephone_number": "323-948-0444",
"fax_number": "323-948-0419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIAL SERVICE FOR GROUPS",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-26",
"last_updated": "2015-05-26",
"status": "A",
"authorized_official_last_name": "HENMAN",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "PUBLIC HEALTH STUDENT",
"authorized_official_telephone_number": "323-948-0444"
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.