LOS ANGELES MEDICAL CENTER FOUNDATION


Address: 2010 Wilshire Blvd Fl 2, Los Angeles, CA 90057-3507
Phone: 2134839209

LOS ANGELES MEDICAL CENTER FOUNDATION (NPI# 1710514930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710514930
Entity Type Organization
Organization Name LOS ANGELES MEDICAL CENTER FOUNDATION
Other Organization Name LOS ANGELES MEDICAL CENTER FOUNDATION
Practice Address 2010 Wilshire Blvd Fl 2
Los Angeles
CA 90057-3507
Practice Telephone 2134839209
Practice Fax Number 2134830250
Mailing Telephone 2134839209
Mailing Fax Number 2134830250
Enumeration Date 2020-03-26
Last Update Date 2020-07-23
Authorized Official Name MRS. ROMINA JURIE (OPERATIONS MANAGER)
Authorized Official Telephone 2134832620
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
N 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
Allopathic & Osteopathic Physicians
N 208000000X Pediatrics Allopathic & Osteopathic Physicians
Y 261QC1500X Clinic/Center
Specialization: Community Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
LOS ANGELES MEDICAL CENTER FOUNDATION Doing Business As Name - Organization

Office Location

Street Address 2010 WILSHIRE BLVD FL 2
City LOS ANGELES
State CA
Zip Code 90057-3507

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1780176107 Bianca Zafiro Case Manager/Care Coordinator 672 S Lafayette Park Place, Suite 6, Los Angeles, CA 90057 2018-06-01
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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1003367590 Jwch Institute, Inc Clinic/Center 115 E. 3rd Street, Los Angeles, CA 90013-1301 2016-10-19
1568919108 Jwch Institute, Inc Clinic/Center 3804 Broadway Pl, Los Angeles, CA 90037-1414 2016-09-01
1093167850 3c Community Clinic Clinic/Center 3030 W Olympic Blvd Ste 206, Los Angeles, CA 90006-6506 2016-07-05
1174996177 All-inclusive Community Health Center Clinic/Center 3920 Eagle Rock Blvd Ste A, Los Angeles, CA 90065-3606 2015-11-12
1861893844 St. John's Well Child and Family Center, Inc. Clinic/Center 326 West 23rd Street, Los Angeles, CA 90007 2014-09-10
1649680588 St. John's Well Child and Family Center, Inc. Clinic/Center 400 W Washington Blvd Bldg E-102, Los Angeles, CA 90015-4108 2014-04-30
1629491089 St. John's Well Child and Family Center, Inc. Clinic/Center 1555 West 110th St, Los Angeles, CA 90047-1220 2014-01-21
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Competitor

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City LOS ANGELES
Zip Code 90057

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Dataset Information

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.

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