Organization Active NPI

Apollomed Care Clinic a Professional Corporation

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1790119014
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A69768 Issued in CA
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

Updated by the provider on Mar 25, 2014

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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. Doing business as

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.