Organization Active NPI

Affiliated Physicians Medical Group

  • Exclusive Provider Organization
  • San Marino, CA
National Provider Identifier
1942593348
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
AFFILIATED PHYSICIANS MEDICAL GROUP
Practice address
2360 Huntington Dr Ste 201
San Marino, CA 91108-2651
Phone
(626) 656-2370
Fax
(626) 248-9060
NPI assigned
May 18, 2011
Last updated
May 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Ms. Lan Nhu Bich Phan, MPH
Title
Administrator
Phone
(626) 656-2370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

2360 Huntington Dr Ste 201
San Marino, CA 91108-2651

Mailing address

2360 Huntington Dr Ste 201
San Marino, CA 91108-2651
Phone (626) 656-2370

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1942593348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 HUNTINGTON DR STE 201",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082651",
            "telephone_number": "626-656-2370",
            "fax_number": "626-248-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 HUNTINGTON DR STE 201",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082651",
            "telephone_number": "626-656-2370",
            "fax_number": "626-248-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED PHYSICIANS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "LAN",
        "authorized_official_middle_name": "NHU BICH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-656-2370",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.