Active NPI
Apollomed Care Clinic a Professional Corporation
- Internal Medicine Physician
- Los Angeles, CA
National Provider Identifier
1790119014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A69768
- Legal business name
- APOLLOMED CARE CLINIC A PROFESSIONAL CORPORATION
- Doing business as
- Inter-American Medical Group, Inc.
- Practice address
- 2256 Whittier Blvd
Los Angeles, CA 90023-1243 - Phone
- (323) 268-8511
- Fax
- (323) 268-0717
- NPI assigned
- Aug 22, 2013
- 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
- Warren Hosseinion, MD
- Title
- Chief Executive Officer
- Phone
- (818) 839-5200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A69768 | CA | Primary |
Addresses
Primary practice location
2256 Whittier Blvd
Los Angeles, CA 90023-1243
Mailing address
PO Box 4555
Glendale, CA 91222-0555
Phone (818) 839-5200
Other names 1
- Inter-American Medical Group, Inc.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395705600000",
"number": "1790119014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4555",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912220555",
"telephone_number": "818-839-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2256 WHITTIER BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900231243",
"telephone_number": "323-268-8511",
"fax_number": "323-268-0717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APOLLOMED CARE CLINIC A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-22",
"last_updated": "2014-03-25",
"status": "A",
"authorized_official_last_name": "HOSSEINION",
"authorized_official_first_name": "WARREN",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "818-839-5200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A69768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Inter-American Medical Group, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
- 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.
- Meredith Elizbeth Apostol, FNP
Sources for this page
- 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.