Priority Medical Clinic a Professional Medical Corporation

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

PRIORITY MEDICAL CLINIC A PROFESSIONAL MEDICAL CORPORATION

Practice address

5348 Topanga Canyon Blvd Ste 204
Woodland Hills, CA 91364-1739

Phone

(747) 888-3280

Fax

(747) 888-3281

NPI assigned

Jul 21, 2022

Organization subpart

No

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

Authorized official

Name

Daniel Rose, MD

Title

Owner/Ceo

Phone

(747) 888-3280

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1730814823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5348 TOPANGA CANYON BLVD STE 204",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641739",
            "telephone_number": "747-888-3280",
            "fax_number": "747-888-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5348 TOPANGA CANYON BLVD STE 204",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641739",
            "telephone_number": "747-888-3280",
            "fax_number": "747-888-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY MEDICAL CLINIC A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "747-888-3280",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD",
            "identifier": "A44506",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prism Behavioral Solutions
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• Adult Medicine Physician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.