Louis T Bascoy, M.D., Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A29037 Issued in CA

Legal business name

LOUIS T BASCOY, M.D., INC.

Practice address

4560 E Cesar E Chavez Ave
Los Angeles, CA 90022-1117

Phone

(323) 269-0411

Fax

(323) 269-0418

NPI assigned

Jul 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Louis T. Bascoy, M.D.

Title

Owner/President

Phone

(323) 269-0411

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BASCOY MEDICAL CLINIC Other name

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1811339856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 E CESAR E CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221117",
            "telephone_number": "323-269-0411",
            "fax_number": "323-269-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 E CESAR E CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221117",
            "telephone_number": "323-269-0411",
            "fax_number": "323-269-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS T BASCOY, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "BASCOY",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "323-269-0411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A29037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A290370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BASCOY MEDICAL CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Victor Louie
• Vincent Louie
• Winnie Louie, PSY.D.
• Louis & Mary Jo Wong (2010 Pharmacy)
• Louis S Park M D Inc
• Anthony Henry Louis
• Carolina Louis, MFT INTERN
• Richard Louis III
• Lourdes B. Capulong DDS Inc
• Ken Louria, MFT

• Medical Specialty Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.