Culver Family& Urgent Care Medical Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A92596 Issued in CA

Legal business name

CULVER FAMILY& URGENT CARE MEDICAL CENTER

Practice address

10732 Jefferson Blvd
Culver City, CA 90230-4933

Phone

(310) 559-7311

Fax

(310) 559-7325

NPI assigned

Dec 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ahmed Mansour Hamza I

Title

President

Phone

(310) 559-7311

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fouad Mohammed Nouri, M.D.

  • General Practice Physician
  • Culver City, CA
  • NPI 1932324100
  NPD (past)

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1831373364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10732 JEFFERSON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304933",
            "telephone_number": "310-559-7311",
            "fax_number": "310-559-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10732 JEFFERSON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304933",
            "telephone_number": "310-559-7311",
            "fax_number": "310-559-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULVER FAMILY& URGENT CARE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "HAMZA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "MANSOUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-559-7311",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A92596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Culver City Specialty and Podiatry Group
• Culver City Surgical Center
• Culver City Surgical Specialists, Inc
• Culver City Usd
• Culver Emergency Medical Group
• Kazia Elizabeth Cumbler, AMFT
• Paul Cummings
• Sarah Curiel
• Charlene A Curry
• Kita Shantiris Curry, PH.D.

• General Practice Physician in Culver City, CA
• Providers in Culver City, 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 Dec 19, 2007; 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.