Avicure, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

C52804 Issued in CA

Legal business name

AVICURE, INC

Practice address

1201 S Beach Blvd Ste 104B
La Habra, CA 90631-6366

Phone

(714) 253-3021

NPI assigned

Dec 9, 2008

Organization subpart

No

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

Authorized official

Name

Helen Kwon

Title

Cmo

Phone

(714) 308-4206

Specialties & licenses 1

Addresses

Other names 1

• Anesis Medical Clinic Doing business as

Locations

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1861637571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S BEACH BLVD STE 104B",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316366",
            "telephone_number": "714-253-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S BEACH BLVD STE 104B",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316366",
            "telephone_number": "714-253-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVICURE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "714-308-4206"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "C52804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anesis Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in La Habra, CA
• Providers in La Habra, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.