Organization Active NPI

Galina Makovoz MD a Professional Corporation

  • Primary Care Clinic/Center
  • West Hollywood, CA
National Provider Identifier
1992028591
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A47756 Issued in CA
Legal business name
GALINA MAKOVOZ MD A PROFESSIONAL CORPORATION
Practice address
7607 Santa Monica Blvd Ste 27
West Hollywood, CA 90046-6400
Phone
(323) 650-5494
Fax
(323) 650-5495
NPI assigned
Mar 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Authorized official

Name
Mrs. Marina Broytman
Title
Office Manager
Phone
(323) 650-5494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A47756 CA Primary

Addresses

Primary practice location

7607 Santa Monica Blvd Ste 27
West Hollywood, CA 90046-6400

Mailing address

7607 Santa Monica Blvd Ste 27
West Hollywood, CA 90046-6400
Phone (323) 650-5494

Other identifiers 2

IdentifierTypeStateIssuer
00A477561MedicaidCA
00A477560MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101124000257 CA Part B Supplier - Clinic/Group Practice 6709072168 Receives reassigned benefits from 1 practitioner
Practice locations: North Hollywood, CA; West Hollywood, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1992028591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7607 SANTA MONICA BLVD STE 27",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466400",
            "telephone_number": "323-650-5494",
            "fax_number": "323-650-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7607 SANTA MONICA BLVD STE 27",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466400",
            "telephone_number": "323-650-5494",
            "fax_number": "323-650-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALINA MAKOVOZ MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "BROYTMAN",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "323-650-5494",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A47756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A477561",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A477560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.