Apollomed Care Clinic a Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A69768 Issued in CA

Legal business name

APOLLOMED CARE CLINIC A PROFESSIONAL CORPORATION

Doing business as

Fletcher Family Medical Clinic

Practice address

3056 Fletcher Dr
Los Angeles, CA 90065-2207

Phone

(323) 256-2231

Fax

(323) 256-6211

NPI assigned

Feb 4, 2014

Organization subpart

No

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

Authorized official

Name

Warren Hosseinion, M.D.

Title

Ceo

Phone

(818) 839-5200

Specialties & licenses 1

Addresses

Other names 1

• Fletcher Family Medical Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert A Tracy, DO

  • Adult Medicine Physician
  • Los Angeles, CA
  • NPI 1316219058
  NPD (past)

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1750704250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N BRAND BLVD",
            "address_2": "SUITE 220",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031247",
            "telephone_number": "818-839-5200",
            "fax_number": "818-839-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3056 FLETCHER DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900652207",
            "telephone_number": "323-256-2231",
            "fax_number": "323-256-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLOMED CARE CLINIC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "HOSSEINION",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-839-5200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A69768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fletcher Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Apodaca
• Lawrence Rudolph Apodaca, LCSW
• Maria Esperanza Apolinario, RPH
• Marie Faith Del Rosario Apolinario, RPH
• Apollomed Care Clinic a Professional Corporation
• Apollomed Care Clinic a Professional Corporation
• Apon Enterprise LLC
• Elisa Maria Aponte, M.D.
• Therese Angelina Apontti
• Thomas Apostle, D.O.

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.