DTLA MED (NPI# 1629567060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629567060 |
| Entity Type | Organization |
| Organization Name | DTLA MED |
| Other Organization Name | DTLA MED |
| Practice Address |
431 S Hewitt St Ste B Los Angeles CA 90013 |
| Mailing Address |
431 S Hewitt St Ste B Los Angeles CA 90013-2215 |
| Practice Telephone | 9496770677 |
| Mailing Telephone | 9496770677 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-07-23 |
| Authorized Official Name | ALI BADDAY (PRESIDENT) |
| Authorized Official Telephone | 9496770677 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| DTLA Med | Doing Business As Name - Organization |
| Street Address |
431 S HEWITT ST STE B |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013470327 | Mia Rashap | Technician, Other | 555 W 5th St, Los Angeles, CA 90013 | 2019-04-12 |
| 1992263941 | Shiane Lyana Ferretti | Technician, Other | 555 West 5th Street, Los Angeles, CA 90013 | 2019-03-08 |
| 1386150886 | Abel Joseph Apodaca Jr. | Counselor | 512 East 4th Street, Los Angeles, CA 90013 | 2017-12-19 |
| 1578075560 | Anthony Perez | Case Manager/Care Coordinator | 522 S San Pedro, Los Angeles, CA 90013 | 2017-10-30 |
| 1740724574 | Royalty Group Services Inc | Clinic/Center | 555 West Fifth Street 31st Floor, Los Angeles, CA 90013 | 2016-12-13 |
| 1275930877 | Araceli Zuniga | Rehabilitation Practitioner | 640 South Maple Avenue, Los Angeles, CA 90013 | 2014-11-25 |
| 1558785956 | Carlos Mejia | Counselor | 470 E. 3rd St., Los Angeles, CA 90013 | 2014-02-06 |
| 1679908081 | Troy Gabrielson | Counselor | 470 E. 3rd Street, Suite C, Los Angeles, CA 90013 | 2013-09-05 |
| 1417298753 | Pierre Houbein | Physician Assistant | 311 Winston St., Los Angeles, CA 90013 | 2013-03-12 |
| 1447503743 | Westside Radiology & Dianostic Services, LLC. | Radiologic Technologist | 420 E. 3rd Street, Suite 604, Los Angeles, CA 90013 | 2012-10-24 |
| Find all providers in zip 90013 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291047 | Ultra Urgent Care | Clinic/Center | 2875 W 7th St, Los Angeles, CA 90005-3907 | 2020-09-30 |
| 1912402181 | Treat Medical Inc | Clinic/Center | 2110 W Sunset Blvd Ste M, Los Angeles, CA 90026-3125 | 2018-03-28 |
| 1740655208 | Downtown Urgent Care | Clinic/Center | 269 S San Pedro St, Los Angeles, CA 90012-3808 | 2015-12-09 |
| 1548631369 | Koreatown Urgent Care Center | Clinic/Center | 505 S Virgil Ave Ste 101, Los Angeles, CA 90020-1407 | 2015-10-20 |
| 1023490216 | Fannies Daughters Medical PC | Clinic/Center | 3650 W Martin Luther King Jr Blvd, 185, Los Angeles, CA 90008-1700 | 2015-06-24 |
| 1710368675 | Baldwin Hills Crenshaw Urgent Care | Clinic/Center | 3650 W Martin Luther King Jr Blvd Ste 185, Los Angeles, CA 90008-1799 | 2015-06-16 |
| 1962882266 | Wr Balboa Urgent Care Medicine | Clinic/Center | 937 S Alvarado St, 1d, Los Angeles, CA 90006-3067 | 2015-06-02 |
| 1356767867 | Hollywood Urgent Care | Clinic/Center | 5717 Melrose Ave, Los Angeles, CA 90038-3807 | 2014-03-07 |
| 1790962165 | Usc Care Medical Group, Inc. | Clinic/Center | 1100 N State Street, A1d, Los Angeles, CA 90033 | 2008-01-28 |
| 1750573622 | American Current Care of California, A Medical Corporation | Clinic/Center | 6033 West Century Blvd, Suite 200, Los Angeles, CA 90045 | 2007-08-15 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90013 |
Please comment or provide details below to improve the information on DTLA MED.
| 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.