{
"Npi": {
"NPI": "1326409137",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MOHAMED Z KATTIH INC",
"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": "130 W ROUTE 66",
"SecondLineMailingAddress": "SUITE 328",
"MailingAddressCityName": "GLENDORA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91740-6249",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "626-914-4300",
"MailingAddressFaxNumber": "626-914-4306",
"FirstLinePracticeLocationAddress": "130 W ROUTE 66",
"SecondLinePracticeLocationAddress": "SUITE 328",
"PracticeLocationAddressCityName": "GLENDORA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91740-6249",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "626-914-4300",
"PracticeLocationAddressFaxNumber": "626-914-4306",
"EnumerationDate": "03/08/2016",
"LastUpdateDate": "03/08/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KATTIH",
"AuthorizedOfficialFirstName": "MOHAMED",
"AuthorizedOfficialMiddleName": "ZIYAD",
"AuthorizedOfficialTitle": "CEO/OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.,",
"AuthorizedOfficialTelephoneNumber": "626-914-4300",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR0400X",
"TaxonomyName": "Rehabilitation Clinic/Center",
"LicenseNumber": "A81609",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}