NPIMap

Organization Active NPI

P. M. G.

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1750524997
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
FNP 8917 Issued in CA
Legal business name
P. M. G.
Practice address
2007 Wilshire Blvd
Suite 714
Los Angeles, CA 90057-3506
Phone
(818) 500-9910
Fax
(818) 956-3300
NPI assigned
Apr 17, 2009
Last updated
Apr 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Authorized official

Name
B Rock Choe, M.D.
Title
Administrator
Phone
(818) 500-9910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X FNP 8917 CA Primary

Addresses

Primary practice location

2007 Wilshire Blvd
Suite 714
Los Angeles, CA 90057-3506

Mailing address

PO Box 761400
Los Angeles, CA 90076-1400
Phone (818) 500-9910

National Provider Directory

National Provider Directory

Locations

2007 Wilshire Blvd
Ste 714
Los Angeles, CA 90057
Phone (818) 500-9910

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1750524997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 761400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900761400",
            "telephone_number": "818-500-9910",
            "fax_number": "818-956-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 WILSHIRE BLVD",
            "address_2": "SUITE 714",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573506",
            "telephone_number": "818-500-9910",
            "fax_number": "818-956-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P. M. G.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "CHOE",
        "authorized_official_first_name": "B",
        "authorized_official_middle_name": "ROCK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-500-9910",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "FNP 8917",
            "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 Apr 17, 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.