Organization Active NPI

Rosemead Health Center Medical Group Inc

  • General Practice Physician
  • Rosemead, CA
National Provider Identifier
1699275115
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ROSEMEAD HEALTH CENTER MEDICAL GROUP INC
Practice address
8811 Garvey Ave Ste 101
Rosemead, CA 91770-2461
Phone
(626) 375-1505
Fax
(626) 795-0779
NPI assigned
Feb 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Authorized official

Name
Dr. Lars Hanson, MD
Title
Ceo
Phone
(626) 375-1505

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

8811 Garvey Ave Ste 101
Rosemead, CA 91770-2461

Mailing address

8811 Garvey Ave Ste 101
Rosemead, CA 91770-2461
Phone (626) 375-1505

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1699275115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 GARVEY AVE STE 101",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702461",
            "telephone_number": "626-375-1505",
            "fax_number": "626-795-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 GARVEY AVE STE 101",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702461",
            "telephone_number": "626-375-1505",
            "fax_number": "626-795-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMEAD HEALTH CENTER MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "LARS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-375-1505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.