Organization Active NPI

Laurel Canyon Urgency Med Group

  • Family Medicine Physician
  • North Hollywood, CA
National Provider Identifier
1831387620
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A29900 Issued in CA
Legal business name
LAUREL CANYON URGENCY MED GROUP
Practice address
8020 Laurel Canyon Blvd
North Hollywood, CA 91605-1427
Phone
(818) 767-9623
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Areg Alikhanian
Title
Billing Manager
Phone
(818) 247-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A29900 CA Primary

Addresses

Primary practice location

8020 Laurel Canyon Blvd
North Hollywood, CA 91605-1427

Mailing address

8020 Laurel Canyon Blvd
North Hollywood, CA 91605-1427
Phone (818) 767-9623

Other identifiers 1

IdentifierTypeStateIssuer
GR0010720MedicaidCA

National Provider Directory

National Provider Directory

Locations

8020 Laurel Canyon Blvd
North Hollywood, CA 91605
Phone (818) 759-1001

6700 Sepulveda Blvd
Van Nuys, CA 91411
Phone (310) 923-1518

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1831387620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 LAUREL CANYON BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916051427",
            "telephone_number": "818-767-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 LAUREL CANYON BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916051427",
            "telephone_number": "818-767-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL CANYON URGENCY MED GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "ALIKHANIAN",
        "authorized_official_first_name": "AREG",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "818-247-3600"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A29900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0010720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.