Life Enhancement Specialists LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD2005-0713 Issued in NM

Legal business name

LIFE ENHANCEMENT SPECIALISTS LLC

Practice address

8200 Carmel Ave NE
Ste. 102
Albuquerque, NM 87122-2941

Phone

(505) 892-0402

Fax

(505) 892-5544

NPI assigned

Mar 19, 2014

Last updated

Mar 19, 2014By 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. Armin Foghi, M.D. PH.D

Title

Cardiologist

Phone

(505) 892-0402

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1730506494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 GRANDE BLVD SE",
            "address_2": "STE. C & D",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241799",
            "telephone_number": "505-892-0402",
            "fax_number": "505-892-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 CARMEL AVE NE",
            "address_2": "STE. 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222941",
            "telephone_number": "505-892-0402",
            "fax_number": "505-892-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ENHANCEMENT SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "FOGHI",
        "authorized_official_first_name": "ARMIN",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "505-892-0402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. PH.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "MD2005-0713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MA100865",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.