IMD MEDICAL GROUP INC (NPI# 1508804006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508804006 |
| Entity Type | Organization |
| Organization Name | IMD MEDICAL GROUP INC |
| Practice Address |
1234 N Vermont Ave Los Angeles CA 90029-1704 |
| Practice Telephone | 2134876867 |
| Practice Fax Number | 2134876811 |
| Mailing Telephone | 2134876867 |
| Mailing Fax Number | 2134876811 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2015-12-10 |
| Authorized Official Name | IMAD EL ASMAR (PRESIDENT) |
| Authorized Official Telephone | 2134876867 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A89382 | CA | Ambulatory Health Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A61923 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0093890 | 05 |
| Street Address |
1234 N VERMONT AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90029-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912956525 | Imad Aziz El Asmar | Internal Medicine | 1234 N Vermont Ave, Los Angeles, CA 90029-1704 | 2006-05-09 |
| 1508330390 | Jessica Aguilar | Nurse Practitioner | 1234 N Vermont Ave, Los Angeles, CA 90029-1704 | 2019-01-15 |
| 1437601614 | Lauren Christensen | Nurse Practitioner | 1234 N Vermont Ave, Los Angeles, CA 90029-1704 | 2016-11-04 |
| 1245603174 | Gretchen Debbie Genato | Nurse Practitioner | 1234 N Vermont Ave, Los Angeles, CA 90029-1704 | 2015-10-30 |
| 1083011670 | The Urgent Care At Vermont | Clinic/Center | 1234 N Vermont Ave, Los Angeles, CA 90029-1704 | 2014-11-25 |
| 1457697310 | Vermont Workers Comp Center, Inc. | Preventive Medicine | 1234 N Vermont Ave, Los Angeles, CA 90029-1704 | 2012-12-21 |
| 1972857498 | Hannah Rose Prawat | Physician Assistant | 1234 N Vermont Ave, Los Angeles, CA 90029-1704 | 2012-11-06 |
| 1821390154 | Vermont Healthcare Center Inc | Internal Medicine | 1234 N Vermont Ave, Los Angeles, CA 90029-1704 | 2010-11-18 |
| 1568597250 | Osamah A El-attar Md Inc | Internal Medicine | 1234 N Vermont Ave, Suite 2, Los Angeles, CA 90029-1704 | 2007-02-22 |
| 1396880985 | Simon R. Valencia Md, Inc | Internal Medicine | 1234 N Vermont Ave, Los Angeles, CA 90029 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053884775 | Melrose Recovery, LLC. | Substance Abuse Rehabilitation Facility | 1253 N Commonwealth Ave, Los Angeles, CA 90029 | 2019-01-04 |
| 1548740939 | Mission City Community Network Inc | Clinic/Center | 5300 Santa Monica Blvd Ste 202, Los Angeles, CA 90029 | 2018-08-15 |
| 1215454707 | Dennis De Vera | Respiratory Therapist, Registered | 1154 N. Berendo St, Los Angeles, CA 90029 | 2017-08-24 |
| 1508390881 | Acadia Malibu, Inc. | Community/Behavioral Health | 4423 and 4423 1/2 Santa Monica Boulevard, Los Angeles, CA 90029 | 2017-04-13 |
| 1023556610 | Jasen Mcgoldrick | Substance Abuse Rehabilitation Facility | 4445 Burns Ave., Los Angeles, CA 90029 | 2017-02-03 |
| 1679930572 | Sukhwa Park | Acupuncturist | 4870 Santa Monica Blvd, Los Angeles, CA 90029 | 2016-01-22 |
| 1629326749 | Jocelyn Anne Brown | Midwife | 1042 Sanborn Ave Apt 9, Los Angeles, CA 90029 | 2012-08-21 |
| 1811211915 | Advanced Skilled Nursing Inc. | Skilled Nursing Facility | 975 North Virgil Avenue, Los Angeles, CA 90029 | 2010-03-17 |
| 1427244060 | Manuel Masaganda Ferreras | Technician/Technologist | 1131 N Vermont Ave Ste 101, Los Angeles, CA 90029 | 2007-09-18 |
| 1033321013 | Zhirayr Jerry Khoshoryan | Chiropractor | 1233 Vermont Ave., Suite 1b, Los Angeles, CA 90029 | 2007-05-04 |
| Find all providers in zip 90029 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407468507 | County of Los Angeles | Clinic/Center | 242 E 6th St, Los Angeles, CA 90014-2117 | 2020-08-19 |
| 1790308005 | Korean Health, Education, Information and Research Center | Clinic/Center | 621 S Virgil Ave Ste 401, Los Angeles, CA 90005-4040 | 2020-05-20 |
| 1598398539 | Eduard Dudukgian M.d., A Professional Co | Clinic/Center | 1300 N Vermont Ave Ste 601, Los Angeles, CA 90027-6088 | 2020-02-18 |
| 1225599178 | The Los Angeles Lgbt Center | Clinic/Center | 3055 Wilshire Blvd Ste 360, Los Angeles, CA 90010-1108 | 2019-03-25 |
| 1144791500 | Beverly Community Clinic | Clinic/Center | 2252 Beverly Blvd Ste 103, Los Angeles, CA 90057-2225 | 2018-12-11 |
| 1306320619 | Beverly Ob & Gyn Medical Center Inc. | Clinic/Center | 4620 Beverly Blvd Ste 101, Los Angeles, CA 90004-3102 | 2018-09-21 |
| 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 | 90029 |
Please comment or provide details below to improve the information on IMD 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.