Organization Active NPI

Allergy and Asthma Associates of Los Angeles Medical Group Inc

  • Allergy & Immunology Physician
  • Los Angeles, CA
National Provider Identifier
1972670958
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERGY AND ASTHMA ASSOCIATES OF LOS ANGELES MEDICAL GROUP INC
Practice address
1125 S Beverly Dr Ste 740
Los Angeles, CA 90035-1180
Phone
(310) 275-0380
Fax
(310) 275-1210
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Richard M Harris, MDNPI 1104904051
Title
President
Phone
(310) 275-0380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

1125 S Beverly Dr Ste 740
Los Angeles, CA 90035-1180

Mailing address

1125 S Beverly Dr Ste 740
Los Angeles, CA 90035-1180
Phone (310) 275-0380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090716000208 CA Part B Supplier - Clinic/Group Practice 6002968427 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

435 N Roxbury Dr
Ste 400
Beverly Hills, CA 90210
Phone (310) 275-0380

1125 S Beverly Dr
Ste 740
Los Angeles, CA 90035
Phone (310) 275-0380

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1972670958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR STE 740",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351180",
            "telephone_number": "310-275-0380",
            "fax_number": "310-275-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR STE 740",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351180",
            "telephone_number": "310-275-0380",
            "fax_number": "310-275-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY AND ASTHMA ASSOCIATES OF LOS ANGELES MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-275-0380",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.

Verify at the official NPI Registry.