Jimsher Medical Group,Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

GR0062150 Issued in CA

Legal business name

JIMSHER MEDICAL GROUP,INC

Practice address

8001 Laurel Canyon Blvd
North Hollywood, CA 91605-1400

Phone

(818) 767-4728

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Sherry Born Cohen, NP

Title

Secretary

Phone

(818) 767-4728

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912033622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 WARING DR",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913013018",
            "telephone_number": "818-767-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 LAUREL CANYON BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916051400",
            "telephone_number": "818-767-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMSHER MEDICAL GROUP,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "BORN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "818-767-4728",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "GR0062150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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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.