Match Point, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY46074 Issued in CA

Legal business name

MATCH POINT, INC.

Doing business as

Culver West Pharmacy

Practice address

12095 W Washington Blvd
Los Angeles, CA 90066-2626

Phone

(310) 391-5238

Fax

(310) 391-0359

NPI assigned

Aug 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dimitry Bigun, PHARM.D.

Title

President/Pharmacist

Phone

(310) 344-3462

Specialties & licenses 1

Addresses

Other names 1

• Culver West Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710995782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12095 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900662626",
            "telephone_number": "310-391-5238",
            "fax_number": "310-391-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12095 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900662626",
            "telephone_number": "310-391-5238",
            "fax_number": "310-391-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATCH POINT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIGUN",
        "authorized_official_first_name": "DIMITRY",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "310-344-3462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Culver West Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Iliana Matamoros Castro
• Hirsch Matani, MD
• Nirosh Mataraarachchi, MD, MS
• Michelle Matayoshi
• Match Hair, Inc
• Madalina Mateescu
• Melissa Mae De Guzman Matel, DO
• Naweid John Maten, PHARMD
• Adrelys Mateo Santana
• Laura Mateo-Gaspar

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.