Cleotilde S Jose MD Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A24688 Issued in CA

Legal business name

CLEOTILDE S JOSE MD INC

Practice address

9726 Venice Blvd
Culver City, CA 90232-2717

Phone

(310) 559-2046

Fax

(310) 559-1928

NPI assigned

Dec 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Cleotilde S Jose, M.D.

Title

Ceo

Phone

(310) 559-2046

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1932445921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9726 VENICE BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322717",
            "telephone_number": "310-559-2046",
            "fax_number": "310-559-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9726 VENICE BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322717",
            "telephone_number": "310-559-2046",
            "fax_number": "310-559-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEOTILDE S JOSE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "JOSE",
        "authorized_official_first_name": "CLEOTILDE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-559-2046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A24688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robert L Clipper
• Joseph A Clugston
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• Medical Specialty Clinic/Center in Culver City, CA
• Providers in Culver City, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.