NPI Code Detail JSON Logo

1417463563 NPI number — ROS MEDICAL GROUP INC

NPI Number: 1417463563
Health Care Provider/Practitioner: ROS MEDICAL GROUP INC

Information about “1417463563” NPI (ROS MEDICAL GROUP INC) exists in 1417463563 in HTML format HTML  |  1417463563 in plain Text format TXT  |  1417463563 in PDF (Portable Document Format) PDF  |  1417463563 in an XML format XML  formats.

NPI Number : 1417463563 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417463563",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "ROS MEDICAL GROUP INC",
    "ParentOrgTIN": null,
    "OrgName": "ROS MEDICAL GROUP 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": "409 W MAIN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALHAMBRA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91801-3433",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "626-382-1263",
    "MailingAddressFaxNumber": "626-382-1252",
    "FirstLinePracticeLocationAddress": "1730 S SAN GABRIEL BLVD STE B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN GABRIEL",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91776-3928",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "626-573-1252",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/26/2017",
    "LastUpdateDate": "12/26/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BOUN",
    "AuthorizedOfficialFirstName": "SINGH",
    "AuthorizedOfficialMiddleName": "AHN",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "626-382-1263",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "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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