Professional Neurological Care

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

PROFESSIONAL NEUROLOGICAL CARE

Doing business as

Professional Neurol Care Med Clinic

Practice address

6221 Wilshire Blvd
Suite 509
Los Angeles, CA 90048-5201

Phone

(323) 939-1689

Fax

(323) 939-7084

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Benjamin Gross, MDNPI 1124053665

Title

MD

Phone

(323) 939-1689

Specialties & licenses 1

Addresses

Other names 1

• PROFESSIONAL NEUROL CARE MED CLINIC Doing business as

Practitioners 1

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

• Benjamin Gross, M.D.

  • Neurology Physician
  • Los Angeles, CA
  • NPI 1124053665
  NPD (past) Authorized official

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1841408424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE",
            "address_2": "SUITE 506",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322751",
            "telephone_number": "323-939-1689",
            "fax_number": "323-939-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD",
            "address_2": "SUITE 509",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485201",
            "telephone_number": "323-939-1689",
            "fax_number": "323-939-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL NEUROLOGICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "323-939-1689",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROFESSIONAL NEUROL CARE MED CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Professional Clinical Laboratory
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• Professional Imaging Network
• Professional Imaging Network Co
• Professional Physicians Inc
• Profhealth Westlake Group
• Rosalind Michelle Profit
• Profizix Physical Therapy and Wellness P.C.
• Proformance Physical Therapy and Rehabilitation, Inc. (PRO Physical Therapy)

• Neurological Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.