Los Angeles Doctors Clinic

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

A54934 Issued in CA

Legal business name

LOS ANGELES DOCTORS CLINIC

Practice address

2080 Century Park E
Suite 603
Los Angeles, CA 90067-2001

Phone

(310) 553-0083

Fax

(310) 553-0075

NPI assigned

Sep 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Manouchehr Adeli-Sardo, M.D.

Title

Medical Director

Phone

(310) 553-0083

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1962699454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "SUITE 603",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-553-0083",
            "fax_number": "310-553-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "SUITE 603",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-553-0083",
            "fax_number": "310-553-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES DOCTORS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "ADELI-SARDO",
        "authorized_official_first_name": "MANOUCHEHR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-553-0083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A54934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Los Angeles Detox and Treatment Center
• Los Angeles Detox LLC
• Los Angeles Diabetes Associates, Inc.
• Los Angeles Diagnostics
• Los Angeles Dialysis Center
• Los Angeles Doctors Corp (Los Angeles Metropolitan Medical Center)
• Los Angeles Doctors Corp (Los Angeles Metropolitan Medical Center)
• Los Angeles Doctors Corp (los angeles metropolitan medical center)
• Los Angeles Doctors Corp (Los Angeles Metropolitan Medical Center)
• Los Angeles Drugs

• Hematology & Oncology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.