Lynwood United Medical

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

00A369910 Issued in CA

Legal business name

LYNWOOD UNITED MEDICAL

Practice address

3150 E Imperial Hwy
Lynwood, CA 90262-3223

Phone

(626) 357-0914

Fax

(626) 357-0915

NPI assigned

Mar 16, 2007

Organization subpart

Yes

Parent organization

LYNWOOD UNITED MEDICALAs reported in NPPES

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

Authorized official

Name

Dr. Eduardo Da Sarli, MD

Title

Owner Doctor

Phone

(626) 357-0914

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Lynwood United Med Corp

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Lynwood United Medical Corporation

  • Internal Medicine Physician
  • Lynwood, CA
  • NPI 1326052689
  NPPES parent name

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1801920087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 E IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623223",
            "telephone_number": "626-357-0914",
            "fax_number": "626-357-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 E IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623223",
            "telephone_number": "626-357-0914",
            "fax_number": "626-357-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNWOOD UNITED MEDICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LYNWOOD UNITED MEDICAL",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "DA  SARLI",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "626-357-0914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "00A369910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A369910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynwood Med Supply, Inc.
• Lynwood Med Supply. Inc
• Lynwood Safai DDS, Inc.
• Lynwood Skilled Nursing Center LLC
• Lynwood Unified School District
• Lynwood United Medical Corporation
• Lacey Lyons, RD, CNSC
• M-S Surgery Center LLC
• Juan Angel Madrigal
• Janet Magana

• Internal Medicine Physician in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.