Pondus Medical Ca, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PONDUS MEDICAL CA, PC

Practice address

330 N Brand Blvd Ste 700
Glendale, CA 91203-2336

Phone

(305) 588-6673

NPI assigned

Jan 18, 2024

Organization subpart

No

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

Authorized official

Name

Ezequiel Halac

Title

Chief Administrative Officer

Phone

(035) 588-6673

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1962263855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15811 COLLINS AVE APT 1405",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331604174",
            "telephone_number": "305-588-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N BRAND BLVD STE 700",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032336",
            "telephone_number": "305-588-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONDUS MEDICAL CA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "HALAC",
        "authorized_official_first_name": "EZEQUIEL",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "035-588-6673"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.