Active NPI
Thutrang DO, D.O.Inc.
- Internal Medicine Physician
- Lawndale, CA
National Provider Identifier
1972614758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20A8885
- Legal business name
- THUTRANG DO, D.O.INC.
- Doing business as
- DO MEDICAL, INC
- Practice address
- 15735 Hawthorne Blvd Ste 111
Lawndale, CA 90260-0000 - Phone
- (310) 675-1300
- Fax
- (310) 675-1461
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thutrang DO, D.O.
- Title
- President
- Phone
- (310) 213-1453
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20A8885 | CA | Primary |
Addresses
Primary practice location
15735 Hawthorne Blvd Ste 111
Lawndale, CA 90260-0000
Mailing address
15735 Hawthorne Blvd Ste 111
Lawndale, CA 90260-0000
Phone (310) 675-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX88850 | Medicaid | CA |
Other names 1
- DO MEDICAL, INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- DO Medical
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Lawndale, CA
- NPI 1700958055
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207872000000",
"number": "1972614758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15735 HAWTHORNE BLVD STE 111",
"city": "LAWNDALE",
"state": "CA",
"postal_code": "902600000",
"telephone_number": "310-675-1300",
"fax_number": "310-675-1461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15735 HAWTHORNE BLVD STE 111",
"city": "LAWNDALE",
"state": "CA",
"postal_code": "902600000",
"telephone_number": "310-675-1300",
"fax_number": "310-675-1461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THUTRANG DO, D.O.INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2008-04-11",
"status": "A",
"authorized_official_last_name": "DO",
"authorized_official_first_name": "THUTRANG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-213-1453",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A8885",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX88850",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DO MEDICAL, INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lawndale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.