Plaza Health Services Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PLAZA HEALTH SERVICES INC.

Practice address

11111 Santa Monica Blvd Ste 200
Los Angeles, CA 90025-3333

Phone

(310) 358-5568

Fax

(310) 933-0559

NPI assigned

Feb 27, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Peyton Berookim, MD

Title

Owner

Phone

(310) 358-5568

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1942767801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 SANTA MONICA BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253333",
            "telephone_number": "310-358-5568",
            "fax_number": "310-933-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 SANTA MONICA BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253333",
            "telephone_number": "310-358-5568",
            "fax_number": "310-933-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "BEROOKIM",
        "authorized_official_first_name": "PEYTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-358-5568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plaza Community Center, Esperanza Program
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• Plaza Community Services
• Plaza Dental
• Plaza Eye & Surgery Center, a Medical Corporation
• Plaza West Pharmacy
• Plaza-Towers OB/GYN
• Alfredo Plaza
• Gwendolyn Plaza
• Natalie Plaza

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.