Healthcare Provider Details

I. General information

NPI: 1982308953
Provider Name (Legal Business Name): JAMES PATTERSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 WESTWOOD PLZ
LOS ANGELES CA
90095-8358
US

IV. Provider business mailing address

11660 W SUNSET BLVD APT 3
LOS ANGELES CA
90049-2053
US

V. Phone/Fax

Practice location:
  • Phone: 424-467-5568
  • Fax:
Mailing address:
  • Phone: 520-559-0686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA198191
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: