Unimed Health Center Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

UNIMED HEALTH CENTER GROUP INC

Practice address

4065 Whittier Blvd
Los Angeles, CA 90023-2556

Phone

(323) 968-1170

Fax

(323) 968-1175

NPI assigned

Oct 2, 2018

Organization subpart

No

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

Authorized official

Name

Ambrose Fuerte

Title

Administrator

Phone

(323) 968-1170

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rubio Reyes Punzalan, M.D.

  • General Practice Physician
  • San Marino, CA
  • NPI 1093937708
  NPD

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1700361029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232556",
            "telephone_number": "323-968-1170",
            "fax_number": "323-968-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232556",
            "telephone_number": "323-968-1170",
            "fax_number": "323-968-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIMED HEALTH CENTER GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "FUERTE",
        "authorized_official_first_name": "AMBROSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-968-1170"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Unicon World Wide (Unicon Home care services)
• Unified Healthcare Providers, LLC (Unified Hospice)
• Unified Home Health Care LLC
• Unimed Community Health Center
• Union Ave Elementary School
• Union Care Pharmacy Inc (Farmacia Pico Union)
• Union National Translation, Inc.
• Union Noe Chiropractic Group Inc (Union Healthcare Group)
• Union Rescue Mission

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.