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1215100433 NPI number — COMPREHENSIVE HEALTH FOR ALL FERTILITY MEDICAL GROUP

NPI Number: 1215100433
Health Care Provider/Practitioner: COMPREHENSIVE HEALTH FOR ALL FERTILITY MEDICAL GROUP

Information about “1215100433” NPI (COMPREHENSIVE HEALTH FOR ALL FERTILITY MEDICAL GROUP) exists in 1215100433 in HTML format HTML  |  1215100433 in plain Text format TXT  |  1215100433 in PDF (Portable Document Format) PDF  |  1215100433 in an XML format XML  formats.

NPI Number : 1215100433 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215100433",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "COMPREHENSIVE HEALTH FOR ALL FERTILITY MEDICAL GROUP",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5455 WILSHIRE BLVD",
    "SecondLineMailingAddress": "1904",
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90036-4201",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "323-525-3377",
    "MailingAddressFaxNumber": "323-525-3376",
    "FirstLinePracticeLocationAddress": "5455 WILSHIRE BLVD",
    "SecondLinePracticeLocationAddress": "1904",
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90036-4201",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "323-525-3377",
    "PracticeLocationAddressFaxNumber": "323-525-3376",
    "EnumerationDate": "04/09/2008",
    "LastUpdateDate": "04/09/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DIMASHKIE",
    "AuthorizedOfficialFirstName": "MARJORIE",
    "AuthorizedOfficialMiddleName": "LYNN",
    "AuthorizedOfficialTitle": "DIRECTOR OF OPERATIONS",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "323-525-3377",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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