THC - Orange County, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

THC - ORANGE COUNTY, LLC

Practice address

5525 W Slauson Ave
Los Angeles, CA 90056

Phone

(310) 642-0325

Fax

(310) 642-0338

NPI assigned

May 15, 2007

Last updated

Jul 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mostafa Adam Darvish

Title

Executive Director

Phone

(714) 893-4541

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1821204058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 W SLAUSON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561047",
            "telephone_number": "310-642-0325",
            "fax_number": "310-642-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 W SLAUSON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90056",
            "telephone_number": "310-642-0325",
            "fax_number": "310-642-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THC - ORANGE COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "DARVISH",
        "authorized_official_first_name": "MOSTAFA",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "714-893-4541",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC32032G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chalisa Thavonrungkit
• Kamonporn Thawatpeerachai, CCC-SLP
• Melissa A Thayer, PT
• Robert Thayer, DO
• THC - Orange County LLC (Kindred Hospital - Los Angeles)
• The Abstract Center for Marriage & Family Therapy, Inc.
• The Alignment Foundation
• The Amaad Institute
• The Angeles Clinic and Research Institute, Inc.
• The Aptus Group.,Inc

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.