Organization Active NPI

Allen I. Salick M.D., a Professioanl Corporation

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1821221342
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A20866 Issued in CA
Legal business name
ALLEN I. SALICK M.D., A PROFESSIOANL CORPORATION
Practice address
8631 W 3Rd St
Suite 1145E
Los Angeles, CA 90048-5901
Phone
(310) 855-9401
Fax
(310) 289-4248
NPI assigned
Sep 1, 2009
Last updated
Sep 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Authorized official

Name
Dr. Allen I Salick, M.D.
Title
President
Phone
(310) 855-9401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A20866 CA Primary

Addresses

Primary practice location

8631 W 3Rd St
Suite 1145E
Los Angeles, CA 90048-5901

Mailing address

8631 W 3Rd St
Suite 1145E
Los Angeles, CA 90048-5901
Phone (310) 855-9401

National Provider Directory

National Provider Directory

Locations

8631 W 3rd St
Ste 1145
Los Angeles, CA 90048
Phone (310) 855-9400

8631 W 3rd St
Ste 1145E
Los Angeles, CA 90048
Phone (310) 278-8330

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1821221342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "address_2": "SUITE 1145E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-855-9401",
            "fax_number": "310-289-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "address_2": "SUITE 1145E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-855-9401",
            "fax_number": "310-289-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN I. SALICK M.D., A PROFESSIOANL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "SALICK",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-855-9401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A20866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.