Organization Active NPI

Lorenzo Munoz

  • Internal Medicine Physician
  • Poway, CA
National Provider Identifier
1932371507
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LORENZO MUNOZ
Practice address
13525 Midland Rd
Ste F
Poway, CA 92064-4772
Phone
(858) 335-4012
Fax
(858) 486-9101
NPI assigned
Mar 24, 2008
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
LORENZO MUNOZAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Ms. Susana Grindle
Title
Administrator
Phone
(858) 335-4012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

13525 Midland Rd
Ste F
Poway, CA 92064-4772

Mailing address

13525 Midland Rd
Ste F
Poway, CA 92064-4772

Other names 1

  • Poway Medical Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Lorenzo Munoz2 organizations share this tax ID, including this one
Part of
Lorenzo Munoz

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1932371507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13525 MIDLAND RD",
            "address_2": "STE F",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13525 MIDLAND RD",
            "address_2": "STE F",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644772",
            "telephone_number": "858-335-4012",
            "fax_number": "858-486-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORENZO MUNOZ",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LORENZO MUNOZ",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "GRINDLE",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "858-335-4012",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poway Medical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.