Organization Active NPI

Donlan Medical Corp

  • Internal Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1801628425
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DONLAN MEDICAL CORP
Practice address
150 N Robertson Blvd Ste 115
Beverly Hills, CA 90211-2121
Phone
(424) 317-9391
Fax
(424) 267-2666
NPI assigned
Aug 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Justin Donlan, MD
Title
Ceo/Owner
Phone
(424) 317-9391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

150 N Robertson Blvd Ste 115
Beverly Hills, CA 90211-2121

Mailing address

150 N Robertson Blvd Ste 115
Beverly Hills, CA 90211-2121
Phone (424) 317-9391

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1801628425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N ROBERTSON BLVD STE 115",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112121",
            "telephone_number": "424-317-9391",
            "fax_number": "424-267-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N ROBERTSON BLVD STE 115",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112121",
            "telephone_number": "424-317-9391",
            "fax_number": "424-267-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONLAN MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "DONLAN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "424-317-9391",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.