Active NPI
Neo Medical Centre Inc
- General Practice Physician
- Harbor City, CA
National Provider Identifier
1811570633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- NEO MEDICAL CENTRE INC
- Practice address
- 1403 Lomita Blvd Ste 307
Harbor City, CA 90710-2085 - Phone
- (424) 352-0326
- NPI assigned
- Apr 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer I Estey, MLP-NURSE PRACTITION
- Title
- Secretary
- Phone
- (424) 352-0326
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary | ||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
1403 Lomita Blvd Ste 307
Harbor City, CA 90710-2085
Mailing address
1403 Lomita Blvd Ste 307
Harbor City, CA 90710-2085
Phone (424) 352-0326
Other names 1
- NEO MEDICAL CENTRE
National Provider Directory
National Provider DirectoryLocations
1403 Lomita Blvd
Ste 307
Harbor City, CA 90710
Phone (310) 456-4317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619654400000",
"number": "1811570633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1403 LOMITA BLVD STE 307",
"city": "HARBOR CITY",
"state": "CA",
"postal_code": "907102085",
"telephone_number": "424-352-0326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1403 LOMITA BLVD STE 307",
"city": "HARBOR CITY",
"state": "CA",
"postal_code": "907102085",
"telephone_number": "424-352-0326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEO MEDICAL CENTRE INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-29",
"last_updated": "2021-04-29",
"certification_date": "2021-04-24",
"status": "A",
"authorized_official_last_name": "ESTEY",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "424-352-0326",
"authorized_official_credential": "MLP-NURSE PRACTITION"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NEO MEDICAL CENTRE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Harbor City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.