Rasa N. Nathan M.D. Inc.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A30764 Issued in CA

Legal business name

RASA N. NATHAN M.D. INC.

Practice address

3408 West Beverly Blvd
Ste a
Montebello, CA 90640

Phone

(323) 887-1943

Fax

(323) 887-1919

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rasa N Nathan, M.D.

Title

President

Phone

(323) 887-1943

Specialties & licenses 1

Addresses

Other names 1

• na Former legal business name

Locations

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902829914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3879",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906401539",
            "telephone_number": "323-887-1943",
            "fax_number": "323-887-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 WEST BEVERLY BLVD",
            "address_2": "STE A",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "90640",
            "telephone_number": "323-887-1943",
            "fax_number": "323-887-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RASA N. NATHAN M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NATHAN",
        "authorized_official_first_name": "RASA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-887-1943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A30764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "na",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Neurology Physician in Montebello, CA
• Providers in Montebello, CA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.