Maurice S. Haber, M.D. a Medical Corporation

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A28340 Issued in CA

Legal business name

MAURICE S. HABER, M.D. A MEDICAL CORPORATION

Doing business as

A Medical Corporation

Practice address

12626 Riverside Dr
#506
Valley Village, CA 91607-3420

Phone

(818) 766-5231

Fax

(818) 766-9083

NPI assigned

Jul 23, 2008

Organization subpart

Yes

Parent organization

MAURICE S. HABER, M.D.As reported in NPPES

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

Authorized official

Name

Maurice S. Haber, M.D.

Title

M.D.

Phone

(818) 766-5231

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• A Medical Corporation Doing business as

Part of

Maurice S Haber MD

Locations

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1871758367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR STE 506",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073461",
            "telephone_number": "818-766-5231",
            "fax_number": "818-766-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR",
            "address_2": "#506",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073420",
            "telephone_number": "818-766-5231",
            "fax_number": "818-766-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICE S. HABER, M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAURICE S. HABER, M.D.",
        "enumeration_date": "2008-07-23",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "818-766-5231",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A28340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A283400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Medical Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medical Specialty Clinic/Center in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.