Crystal Hope Medical Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NOT YET Issued in CA

Legal business name

CRYSTAL HOPE MEDICAL SERVICES, INC.

Practice address

1300 W Olympic Blvd
Suite 320
Los Angeles, CA 90015-3908

Phone

(310) 529-3006

NPI assigned

Sep 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Onyeagoro, RN

Title

Executive Director

Phone

(310) 529-3006

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1189209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189209600000",
    "number": "1811182314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W OLYMPIC BLVD",
            "address_2": "SUITE 320",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153908",
            "telephone_number": "310-529-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W OLYMPIC BLVD",
            "address_2": "SUITE 320",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153908",
            "telephone_number": "310-529-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL HOPE MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-08",
        "last_updated": "2007-09-08",
        "status": "A",
        "authorized_official_last_name": "ONYEAGORO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-529-3006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "NOT YET",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2007; 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.