Bruce C Landres, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G25226 Issued in CA

Practice address

11645 Wilshire Blvd
Ste 901
Los Angeles, CA 90025-6810

Phone

(310) 481-0481

Fax

(310) 481-0482

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bruce C Landres MD Inc

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1447446281
  NPD (past) Authorized official

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388016000000",
    "number": "1700844164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "STE 901",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256810",
            "telephone_number": "310-481-0481",
            "fax_number": "310-481-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "STE 901",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256810",
            "telephone_number": "310-481-0481",
            "fax_number": "310-481-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRES",
        "first_name": "BRUCE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G25226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landmark Imaging Medical Group, Inc.
• Landmark Imaging Surgical Center, LLC
• Angela Landoch, PT
• Michael J Landoch, PT
• Raphael Jeremiah Landovitz, MD
• Tanya Denise Landrio, NP
• Catherine Landrum, PMHNP B-C
• Lisa Marie Landry-Taylor, PA
• Clayton Landry
• Dayna Marie Landry, MS, MPH, RD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.