Prentice Mitri & Hijazin

Primary specialty

SpecialistTaxonomy code 174400000X

License

G38015 Issued in CA

Legal business name

PRENTICE MITRI & HIJAZIN

Practice address

10916 Downey Ave
Downey, CA 90241-3709

Phone

(562) 861-1988

Fax

(562) 861-5835

NPI assigned

Jun 15, 2007

Organization subpart

No

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

Authorized official

Name

Theodore C Prentice Jr., MDNPI 1194733436

Title

Part-Owner

Phone

(562) 861-1988

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Theodore C Prentice, MD

  • Neurology Physician
  • Downey, CA
  • NPI 1194733436
  Medicare reassignment Care Compare group Authorized official
• Munther A Hijazin, MD

  • Neurology Physician
  • Downey, CA
  • NPI 1952319253
  Medicare reassignment Care Compare group NPD
• Antoine E Mitri, MD

  • Neurology Physician
  • Downey, CA
  • NPI 1215945530
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1881899391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10916 DOWNEY AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413709",
            "telephone_number": "562-861-1988",
            "fax_number": "562-861-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10916 DOWNEY AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413709",
            "telephone_number": "562-861-1988",
            "fax_number": "562-861-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRENTICE MITRI & HIJAZIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "PRENTICE",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PART-OWNER",
        "authorized_official_telephone_number": "562-861-1988",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G38015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jahyra Prado
• Michelle Marie Prado
• Pramod Multani MD Inc
• Premier Physical Therapy, Inc.
• Premiere Therapy Services Inc.
• Theodore C Prentice, MD
• Joseph Prey, PHARMD
• Prima Vida Medical Clinic, Inc.
• Princess Medical Group Apc
• Princess Obstetrics and Gynecology, Apc

• Specialist in Downey, CA
• Providers in Downey, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.