Allied Primary Care Clinic, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ALLIED PRIMARY CARE CLINIC, INC.

Practice address

10481 Santa Monica Blvd
Los Angeles, CA 90025-5031

Phone

(310) 592-5906

Fax

(310) 868-2500

NPI assigned

Apr 29, 2021

Last updated

Apr 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maurice Mehrban, MDNPI 1902027626

Title

Physician

Phone

(310) 592-5906

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maurice Mehrban, MD., ESQ.

  • Specialist
  • Los Angeles, CA
  • NPI 1902027626
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1851974760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10481 SANTA MONICA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255031",
            "telephone_number": "310-592-5906",
            "fax_number": "310-868-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10481 SANTA MONICA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255031",
            "telephone_number": "310-592-5906",
            "fax_number": "310-868-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED PRIMARY CARE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "MEHRBAN",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "310-592-5906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A38224B",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allied Health Care, Inc.
• Allied Health Solutions
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• Allied Home Care and Case Management, LLC
• Allied la Housing LLC
• Allies for Every Child
• Alexander Allins, M.D.
• Ervin Allison Jr
• Allison Kawa, Psy.D. & Associates, a Psychological Corporation
• Allison Perks Licensed Clinical Social Worker Incorporated

• Health Service Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.