Los Feliz Associates Medical Group Inc.

Primary specialty

Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X

License

A42975 Issued in CA

Legal business name

LOS FELIZ ASSOCIATES MEDICAL GROUP INC.

Practice address

3171 Los Feliz Blvd
Suite 206
Los Angeles, CA 90039-1527

Phone

(323) 644-7440

Fax

(323) 644-7443

NPI assigned

Aug 8, 2007

Last updated

Jun 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Omid Nassim, M.D.

Title

President

Phone

(323) 644-7440

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1801087341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3171 LOS FELIZ BLVD",
            "address_2": "SUITE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391527",
            "telephone_number": "323-644-7440",
            "fax_number": "323-644-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3171 LOS FELIZ BLVD",
            "address_2": "SUITE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391527",
            "telephone_number": "323-644-7440",
            "fax_number": "323-644-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS FELIZ ASSOCIATES MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "NASSIM",
        "authorized_official_first_name": "OMID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-644-7440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "CA",
            "license": "A42975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD",
            "identifier": "A42975",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-Surgical Family Planning Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Non-Surgical Family Planning Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.