Organization Active NPI

Trinity Health Clinic

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1740422393
Registry record updated Mar 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A63729 Issued in CA
Legal business name
TRINITY HEALTH CLINIC
Practice address
2675 W Olympic Blvd
#B-101
Los Angeles, CA 90006-2880
Phone
(213) 380-0500
NPI assigned
Mar 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2009

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

Authorized official

Name
Paul Cho
Title
Manager
Phone
(213) 380-0500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC29584 CA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A63729 CA Primary

Addresses

Primary practice location

2675 W Olympic Blvd
#B-101
Los Angeles, CA 90006-2880

Mailing address

2675 W Olympic Blvd
#B-101
Los Angeles, CA 90006-2880
Phone (213) 380-0500

National Provider Directory

National Provider Directory

Locations

2675 W Olympic Blvd
Ste B101
Los Angeles, CA 90006
Phone (213) 380-0500

NPI Registry JSON

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

{
    "created_epoch": "1238198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238198400000",
    "number": "1740422393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 W OLYMPIC BLVD",
            "address_2": "#B-101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062880",
            "telephone_number": "213-380-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 W OLYMPIC BLVD",
            "address_2": "#B-101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062880",
            "telephone_number": "213-380-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-28",
        "last_updated": "2009-03-28",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "213-380-0500"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29584",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2009; 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.