NPIMap

Organization Active NPI

Adel Ghattas Medical Center Inc

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1912173600
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A32665 Issued in CA
Legal business name
ADEL GHATTAS MEDICAL CENTER INC
Practice address
1711 W Temple St
Suite 3679
Los Angeles, CA 90026-5421
Phone
(213) 989-0700
Fax
(213) 989-0703
NPI assigned
May 2, 2008
Last updated
May 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Dr. Adel Shafik Ghattas, MD
Title
Owner
Phone
(213) 989-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A32665 CA Primary

Addresses

Primary practice location

1711 W Temple St
Suite 3679
Los Angeles, CA 90026-5421

Mailing address

1711 W Temple St
Suite 3679
Los Angeles, CA 90026-5421
Phone (213) 989-0700

National Provider Directory

National Provider Directory

Locations

1711 W Temple St
Ste 3679
Los Angeles, CA 90026
Phone (213) 989-0700

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1912173600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST",
            "address_2": "SUITE 3679",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "213-989-0700",
            "fax_number": "213-989-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST",
            "address_2": "SUITE 3679",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "213-989-0700",
            "fax_number": "213-989-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEL GHATTAS MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "GHATTAS",
        "authorized_official_first_name": "ADEL",
        "authorized_official_middle_name": "SHAFIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-989-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A32665",
            "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 May 2, 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.