Sculpt Dtla

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G74902 Issued in CA

Legal business name

SCULPT DTLA

Practice address

705 S Olive St Ste a
Los Angeles, CA 90014-2642

Phone

(951) 202-4100

NPI assigned

May 30, 2017

Organization subpart

Yes

Parent organization

BENNY HAU MD INCAs reported in NPPES

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

Authorized official

Name

Dr. Benny Hau, MD

Title

Ceo

Phone

(951) 202-4100

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Sculpt Dtla

Locations

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760910210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S OLIVE ST STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900142642",
            "telephone_number": "951-202-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S OLIVE ST STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900142642",
            "telephone_number": "951-202-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCULPT DTLA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BENNY HAU MD INC",
        "enumeration_date": "2017-05-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HAU",
        "authorized_official_first_name": "BENNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-202-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G74902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "F77911",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G74902",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Noelle Scripture
• Maeghan Scriven
• Linda Marie Scroggins
• Carol Jean Scroggs, RD, CDCES
• Scrubs Store & More LLC
• Emily R Sculthorpe
• Philip Oliver Scumpia, M.D.
• Jenice Scurlark
• Michael Scutero
• SD Pharmcare Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.