SERPAH MEDICAL PC (NPI# 1619445640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619445640 |
| Entity Type | Organization |
| Organization Name | SERPAH MEDICAL PC |
| Other Organization Name | SERAPH MEDICAL |
| Practice Address |
2080 Century Park E Ste 710 Los Angeles CA 90067-2010 |
| Practice Telephone | 4242743211 |
| Mailing Telephone | 4242743211 |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2018-11-07 |
| Authorized Official Name | KEVIN MATTHEW NELSON (ADMINISTRATOR) |
| Authorized Official Telephone | 3108838920 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHILLIP MUSIKANTH MD INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0001X |
Internal Medicine Specialization: Clinical & Laboratory Immunology |
Allopathic & Osteopathic Physicians | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Seraph Medical | Other Name - Individual/Organization |
| Seraph Medical PC | Doing Business As Name - Organization |
| Street Address |
2080 CENTURY PARK E STE 710 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90067-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487097119 | Jonathan S Pourmorady | Internal Medicine | 2080 Century Park E Ste 710, Los Angeles, CA 90067-2010 | 2013-04-11 |
| 1942807300 | Jonathan S Pourmorady Md Corp | Internal Medicine | 2080 Century Park E Ste 710, Los Angeles, CA 90067-2010 | 2020-10-07 |
| 1477021996 | Adrian Lee Mackay | Physician Assistant | 2080 Century Park E Ste 710, Los Angeles, CA 90067-2010 | 2018-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447028 | Shahrooz Saidian Dds Inc | Clinic/Center | 10231 Santa Monica Blvd Ste D, Los Angeles, CA 90067 | 2018-08-15 |
| 1467945758 | Braid Medical Corporation | Anesthesiology | 2080 Century Park E Ste 1111, Los Angeles, CA 90067 | 2018-06-11 |
| 1396233185 | Caroline Petrossian | Internal Medicine | 1880 Century Park East Suite 711, Century City, CA 90067 | 2018-04-26 |
| 1568860823 | Jaycee James | Naturopath | 2029 Century Park E, Los Angeles, CA 90067 | 2014-12-18 |
| 1437418803 | Ariella Aliza Morrow | Internal Medicine | 2080 Century Park E Ste 1605, Los Angeles, CA 90067 | 2012-05-04 |
| 1346524659 | Ben Shamoiel Chiropractic Inc | Chiropractor | 2080 Century Park East, Suite 503, Los Angeles, CA 90067 | 2011-10-05 |
| 1679709075 | Steven Kupferman Dmd Md Inc | Oral & Maxillofacial Surgery | 2080 Century Park East Blvd, Suite 710, Los Angeles, CA 90067 | 2009-06-01 |
| 1922214980 | Irwin Hoffman | Internal Medicine | 2298 Century Hill, Los Angeles, CA 90067 | 2007-05-15 |
| 1306068473 | David Hashimy Alexander | Obstetrics & Gynecology | 2080 Century Park E. #1206, Los Angeles, CA 90067 | 2007-05-02 |
| 1013131796 | Innovative Diagnostic Medical Group | Physical Medicine & Rehabilitation | 1801 Century Park East, Suite 1040, Los Angeles, CA 90067 | 2007-04-12 |
| Find all providers in zip 90067 | ||||
| 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 | 90067 |
Please comment or provide details below to improve the information on SERPAH MEDICAL PC.
| 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.