DOCTOR PAUL MEMORIAL MEDICAL CENTER (NPI# 1659379634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659379634 |
| Entity Type | Organization |
| Organization Name | DOCTOR PAUL MEMORIAL MEDICAL CENTER |
| Practice Address |
501 E Hardy St Ste 220 Inglewood CA 90301-4054 |
| Practice Telephone | 3232902832 |
| Practice Fax Number | 3232902836 |
| Mailing Telephone | 3232902832 |
| Mailing Fax Number | 3232902836 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | DR. MEZIA OGUGUA AZINGE (PRESIDENT/CEO) |
| Authorized Official Telephone | 3232902832 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | 0000992894-0001-6 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | A53449 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A53449 | 05 | |
| CA | 00A534491 | 05 | |
| CA | 00A534492 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6325 Topanga Canyon Blvd Ste 202, Woodland Hills, CA 913672015 | 8186502595 | 3232902836 |
| Street Address |
501 E HARDY ST STE 220 |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90301-4054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689707259 | Mezia Ogugua Azinge | Family Medicine | 501 E Hardy St Ste 220, Inglewood, CA 90301-4054 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548897945 | Genevieve V. Angel | Registered Nurse | 555 East Hardy Street, Director of Cm Sw, Centinela Hospital Medical Center, Inglewood, CA 90301 | 2020-03-25 |
| 1992338552 | Ralph Kevin Roque | Licensed Practical Nurse | 614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, CA 90301 | 2020-02-21 |
| 1043841562 | Evelyn Jones | Social Worker | 555 E. Hardy Street, Inglewood, Ca, CA 90301 | 2020-02-03 |
| 1447896444 | Coral Dabarera Edelson | Dietitian, Registered | 110 North La Brea Ave, Inglewood, CA 90301 | 2019-11-25 |
| 1821642125 | Jennifer Robert Umoh | Student in an Organized Health Care Education/Training Program | 412 E Florence Avenue, Inglewood, CA 90301 | 2019-07-25 |
| 1821567751 | Esther Voltaire | Behavior Technician | 619 E Arbor Vitae St, Inglewood, CA 90301 | 2018-11-21 |
| 1902372832 | Pool Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 323 North Prairie Ave, Suite 200, Ingelwood, CA 90301 | 2018-10-18 |
| 1174003594 | Xelnt Healthcare Inc. | Clinic/Center | 501 E Hardy St Ste 425, Inglewood, CA 90301 | 2018-08-15 |
| 1710409321 | Rae Shelston Mcintosh | Licensed Vocational Nurse | 1007 Myrth Ave, Inglewood, CA 90301 | 2017-07-14 |
| 1477093789 | Lewis E Logan II | Counselor | 332 N. Prairie Ave., Suite 417, Inglewood, CA 90301 | 2017-03-06 |
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| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467864991 | Luz A. Herrera Physician Assistant Inc | Clinic/Center | 3855 W 105th St, Inglewood, CA 90303-1812 | 2014-06-02 |
| 1215102215 | Aiva Health Services | Clinic/Center | 8453 S Van Ness Ave, Inglewood, CA 90305-1519 | 2008-04-30 |
| 1295811685 | Los Angeles County | Clinic/Center | 123 W Manchester Blvd, Inglewood, CA 90301-1753 | 2006-10-27 |
| 1922642909 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 323 N Prairie Ave Ste 417, Inglewood, CA 90301-4506 | 2019-11-01 |
| 1609399260 | County of Los Angeles - Auditor Controller | Clinic/Center | 123 W Manchester Blvd, Inglewood, CA 90301-1753 | 2017-07-25 |
| 1467901652 | County of Los Angeles Auditor Controller | Clinic/Center | 123 W Manchester Blvd, Inglewood, CA 90301-1753 | 2016-09-28 |
| 1174977813 | County of Los Angeles | Clinic/Center | 123 W Manchester Blvd, Inglewood, CA 90301-1753 | 2016-04-19 |
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| 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.