Centro Medico Industrial Latino

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

20A10175 Issued in CA

Legal business name

CENTRO MEDICO INDUSTRIAL LATINO

Practice address

4055 E Olympic Blvd
#207
Los Angeles, CA 90023-3345

Phone

(323) 262-0599

Fax

(323) 262-0699

NPI assigned

Dec 17, 2013

Last updated

Dec 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Francisco Rodriguez, D.O.

Title

Partner

Phone

(323) 262-0599

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1932520962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 E OLYMPIC BLVD",
            "address_2": "#207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900233345",
            "telephone_number": "323-262-0599",
            "fax_number": "323-262-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 E OLYMPIC BLVD",
            "address_2": "#207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900233345",
            "telephone_number": "323-262-0599",
            "fax_number": "323-262-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO MEDICO INDUSTRIAL LATINO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "323-262-0599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "20A10175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.