PEAK HEALTH MEDICAL GROUP INC (NPI# 1174576607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174576607 |
Entity Type | Organization |
Organization Name | PEAK HEALTH MEDICAL GROUP INC |
Practice Address |
2143 S Sepulveda Blvd 300 Los Angeles CA 90025-5733 |
Practice Telephone | 3105753100 |
Practice Fax Number | 3105753102 |
Mailing Telephone | 3105753100 |
Mailing Fax Number | 3105753102 |
Enumeration Date | 2006-05-18 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MISS JACQUELINE BRIZUELA (ADMINISTRATIVE ASSOCIATE/BILLER) |
Authorized Official Telephone | 3105753100 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386072429 | Peak Health Medical Group Inc | Nurse Practitioner | 1900 Pico Blvd, Santa Monica, CA 90405-1628 | 2013-10-29 |
1689019382 | Peak Health Medical Group Inc | Non-Pharmacy Dispensing Site | 2143 S Sepulveda Blvd, Suite 300, Los Angeles, CA 90025-5733 | 2013-05-08 |
Street Address |
2143 S SEPULVEDA BLVD 300 |
City | LOS ANGELES |
State | CA |
Zip Code | 90025-5733 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689019382 | Peak Health Medical Group Inc | Non-Pharmacy Dispensing Site | 2143 S Sepulveda Blvd, Suite 300, Los Angeles, CA 90025-5733 | 2013-05-08 |
1871741488 | Veronica C Reczek | Nurse Practitioner | 2143 S Sepulveda Blvd, Suite 300, Los Angeles, CA 90025-5733 | 2008-09-08 |
1407027550 | Doctors On Demand Urgent Care | Clinic/Center | 2143 S Sepulveda Blvd, Suite 300, Los Angeles, CA 90025-5733 | 2008-03-17 |
1841332103 | Diana Mulherin-taylor | Family Medicine | 2143 S Sepulveda Blvd, Suite #300, Los Angeles, CA 90025-5733 | 2007-02-13 |
1851346084 | Jodie A Escobedo | Family Medicine | 2143 S Sepulveda Blvd, 300, Los Angeles, CA 90025-5733 | 2006-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
Find all providers in zip 90025 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1376036178 | Rolando S. Mercader M.d. Inc. | Clinic/Center | 201 S Alvarado St Ste 600, Los Angeles, CA 90057-2386 | 2018-06-07 |
1669909958 | David Rekar Md, Inc | Clinic/Center | 866 N Vermont Ave Ste 3a, Los Angeles, CA 90029-3587 | 2017-05-17 |
1639604895 | Family Health Clinic Inc. | Clinic/Center | 133 S Vermont Ave, Los Angeles, CA 90004-5904 | 2017-04-25 |
1447618541 | Pc Medical Group Inc | Clinic/Center | 3663 W 6th St Ste 100, Los Angeles, CA 90020-3047 | 2016-02-03 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90025 |
Please comment or provide details below to improve the information on PEAK HEALTH MEDICAL GROUP INC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.