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1295912020 NPI number — J RONALD RICH MD INC

NPI Number: 1295912020
Health Care Provider/Practitioner: J RONALD RICH MD INC

Information about “1295912020” NPI (J RONALD RICH MD INC) exists in 1295912020 in HTML format HTML  |  1295912020 in plain Text format TXT  |  1295912020 in PDF (Portable Document Format) PDF  |  1295912020 in an XML format XML  formats.

NPI Number : 1295912020 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295912020",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "J RONALD RICH MD INC",
    "ParentOrgTIN": null,
    "OrgName": "J RONALD RICH MD INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2811 WILSHIRE BLVD",
    "SecondLineMailingAddress": "#840",
    "MailingAddressCityName": "SANTA MONICA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90403",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-315-3404",
    "MailingAddressFaxNumber": "310-315-3408",
    "FirstLinePracticeLocationAddress": "2811 WILSHIRE BLVD",
    "SecondLinePracticeLocationAddress": "#840",
    "PracticeLocationAddressCityName": "SANTA MONICA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90403",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-315-3404",
    "PracticeLocationAddressFaxNumber": "310-315-3408",
    "EnumerationDate": "01/23/2008",
    "LastUpdateDate": "01/23/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RICH",
    "AuthorizedOfficialFirstName": "J",
    "AuthorizedOfficialMiddleName": "RONALD",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "310-315-3404",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207T00000X",
        "TaxonomyName": "Neurological Surgery Physician",
        "LicenseNumber": "C27997",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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