Organization Active NPI

Marc J. Meth, M.D., Inc.

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Los Angeles, CA
National Provider Identifier
1841535192
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X
License
A103999 Issued in CA
Legal business name
MARC J. METH, M.D., INC.
Practice address
2080 Century Park East Ste. 810
Los Angeles, CA 90067-2011
Phone
(310) 556-1377
Fax
(310) 556-1650
NPI assigned
Nov 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Marc J. Meth, M.D.NPI 1508013301
Title
President
Phone
(310) 556-1377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KI0005X A103999 CA Primary

Addresses

Primary practice location

2080 Century Park East Ste. 810
Los Angeles, CA 90067-2011

Mailing address

2080 Century Park E Ste 810
Los Angeles, CA 90067-2011
Phone (310) 556-1377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130304000097 CA Part B Supplier - Clinic/Group Practice 8123273828 Receives reassigned benefits from 3 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

2080 Century Park E
Ste 810
Los Angeles, CA 90067
Phone (310) 556-1377

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1841535192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 810",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672011",
            "telephone_number": "310-556-1377",
            "fax_number": "310-556-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK EAST STE. 810",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672011",
            "telephone_number": "310-556-1377",
            "fax_number": "310-556-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC J. METH, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "METH",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-556-1377",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "CA",
            "license": "A103999",
            "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 Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.