Active NPI
Trinity Health Clinic
- Internal Medicine Physician
- Los Angeles, CA
National Provider Identifier
1740422393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A63729
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC29584 | CA | |
| Internal Medicine Physician | 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 DirectoryLocations
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.