Panacea Medical Corporation

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

PANACEA MEDICAL CORPORATION

Practice address

840 Apollo St Ste 100
El Segundo, CA 90245-4641

Phone

(615) 393-2703

NPI assigned

Jun 18, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Laura Purdy, M.D.

Title

President

Phone

(615) 393-2703

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1871162453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 GLENDON AVE FL 14",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243518",
            "telephone_number": "310-203-2809",
            "fax_number": "310-203-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 APOLLO ST STE 100",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454641",
            "telephone_number": "615-393-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "PURDY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-393-2703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmine Palomino
• Kiara Palomino
• Michael Palomo Rojero
• Lexi Elise Palty
• Jenna Pamintuan
• Lesly Pancho-Morales
• Ajay Pancholy, MD
• Danielle Panes
• Mirna A Paniagua-Bigler, ARNP
• Madiline Pankey

• Cardiovascular Disease Physician in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.