La Clinic of Medicine Genetics and Preventive Care

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

A70174 Issued in CA

Legal business name

LA CLINIC OF MEDICINE GENETICS AND PREVENTIVE CARE

Practice address

369 N Fairfax Ave Ste 2
Los Angeles, CA 90036-2175

Phone

(323) 655-2799

Fax

(323) 655-0556

NPI assigned

Oct 12, 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

Yelena Silvanskaya

Title

Owner

Phone

(323) 655-2799

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bob C Chen, DPM

  • Podiatrist
  • Monterey Park, CA
  • NPI 1447354824
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750470134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 N HARPER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900482224",
            "telephone_number": "323-655-2799",
            "fax_number": "323-655-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 N FAIRFAX AVE STE 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362175",
            "telephone_number": "323-655-2799",
            "fax_number": "323-655-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CLINIC OF MEDICINE GENETICS AND PREVENTIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SILVANSKAYA",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-655-2799"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A70174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A701740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Elizabeth La Cava, PSYD
• La Center for Oral & Maxiollofacial Surgery a Ca GP
• La Chinatown Medical Clinic
• La Cienega Acupuncture, Inc
• La City Care PC
• La Clinica de Los Angeles Medical Group Apc
• La Community Outreach Center
• La Community Project, Inc.
• La Corf Services Inc
• Mia De Nae La Coste, MFT

• Endocrinology, Diabetes & Metabolism Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician 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.