{
"Npi": {
"NPI": "1316773963",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GLOBAL HEALTHCARE NETWORK",
"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": "11178 VALENCIA ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OAK HILLS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92344-0145",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "619-215-1748",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1209 MOUNTAIN ROAD PL NE STE R",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ALBUQUERQUE",
"PracticeLocationAddressStateName": "NM",
"PracticeLocationAddressPostalCode": "87110-7845",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "619-215-1748",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/10/2024",
"LastUpdateDate": "09/10/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LEON",
"AuthorizedOfficialFirstName": "GIOVANNY",
"AuthorizedOfficialMiddleName": "ALEJANDRO",
"AuthorizedOfficialTitle": "BUSINESS DEVELOPMENT MANAGER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "619-215-1748",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "3416A0800X",
"TaxonomyName": "Air Ambulance",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "261QU0200X",
"TaxonomyName": "Urgent Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}