Organization Active NPI

Neo Medical Centre Inc

  • General Practice Physician
  • Harbor City, CA
National Provider Identifier
1811570633
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Apr 29, 2021

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.