NPIMap

Organization Active NPI

Andrea Dunkelman MD, Inc a Medical Corporation

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1912162223
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A74127 Issued in CA
Legal business name
ANDREA DUNKELMAN MD, INC A MEDICAL CORPORATION
Practice address
8631 W 3Rd St Ste 235E
Los Angeles, CA 90048-5915
Phone
(213) 637-2530
Fax
(213) 384-3373
NPI assigned
Jul 25, 2008
Last updated
Jul 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Mr. Juan Carlos Garcia
Title
Account Business Manager
Phone
(213) 637-2530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A74127 CA Primary

Addresses

Primary practice location

8631 W 3Rd St Ste 235E
Los Angeles, CA 90048-5915

Mailing address

8631 W 3Rd St Ste 235E
Los Angeles, CA 90048-5915
Phone (213) 637-2530

National Provider Directory

National Provider Directory
Tax ID family
Andrea Dunkelman MD Inc a Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1912162223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST STE 235E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485915",
            "telephone_number": "213-637-2530",
            "fax_number": "213-384-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST STE 235E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485915",
            "telephone_number": "213-637-2530",
            "fax_number": "213-384-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA DUNKELMAN MD, INC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "ACCOUNT BUSINESS MANAGER",
        "authorized_official_telephone_number": "213-637-2530",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A74127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.