NPI Code Detail JSON Logo

1356748123 NPI number — JREH MEDICAL CLINIC INC. DBA

NPI Number: 1356748123
Health Care Provider/Practitioner: JREH MEDICAL CLINIC INC. DBA

Information about “1356748123” NPI (JREH MEDICAL CLINIC INC. DBA) exists in 1356748123 in HTML format HTML  |  1356748123 in plain Text format TXT  |  1356748123 in PDF (Portable Document Format) PDF  |  1356748123 in an XML format XML  formats.

NPI Number : 1356748123 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356748123",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "JREH MEDICAL CLINIC INC. DBA",
    "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": "615 S ATLANTIC BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90022-3211",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "615 S ATLANTIC BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90022-3211",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "323-399-3000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/21/2014",
    "LastUpdateDate": "11/21/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MARSH",
    "AuthorizedOfficialFirstName": "ALVA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PHYSICIAN",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D",
    "AuthorizedOfficialTelephoneNumber": "323-399-3000",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3140N1450X",
        "TaxonomyName": "Pediatric Skilled Nursing Facility",
        "LicenseNumber": "C22547",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.