Active NPI
Ophthalmic Health Alliance Inc
- Ophthalmology Physician
- Los Angeles, CA
National Provider Identifier
1710618624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- OPHTHALMIC HEALTH ALLIANCE INC
- Practice address
- 4560 E Cesar E Chavez Ave
Los Angeles, CA 90022-1168 - Phone
- (323) 980-9900
- NPI assigned
- Jun 21, 2022
- Last updated
- Jun 21, 2022
- 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
- Dr. Paul Urrea, MD
- Title
- President
- Phone
- (323) 980-9900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
4560 E Cesar E Chavez Ave
Los Angeles, CA 90022-1168
Mailing address
24355 Creekside Rd Unit 800817
Santa Clarita, CA 91380-7062
Phone (661) 430-0940
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Ophthalmology Physician
- Los Angeles, CA
- NPI 1235157363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655769600000",
"number": "1710618624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24355 CREEKSIDE RD UNIT 800817",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913807062",
"telephone_number": "661-430-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4560 E CESAR E CHAVEZ AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900221168",
"telephone_number": "323-980-9900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPHTHALMIC HEALTH ALLIANCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-21",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A",
"authorized_official_last_name": "URREA",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-980-9900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"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 Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.