NPI Code Detail JSON Logo

1487385720 NPI number — POOL OF BETHESDA CHILDREN AND ADULT HOSPITAL

NPI Number: 1487385720
Health Care Provider/Practitioner: POOL OF BETHESDA CHILDREN AND ADULT HOSPITAL

Information about “1487385720” NPI (POOL OF BETHESDA CHILDREN AND ADULT HOSPITAL) exists in 1487385720 in HTML format HTML  |  1487385720 in plain Text format TXT  |  1487385720 in PDF (Portable Document Format) PDF  |  1487385720 in an XML format XML  formats.

NPI Number : 1487385720 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487385720",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "POOL OF BETHESDA CHILDREN AND ADULT HOSPITAL",
    "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": "3761 S NORMANDIE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90007-4256",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-642-8316",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3761 S NORMANDIE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90007-4256",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-642-8316",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/17/2022",
    "LastUpdateDate": "06/17/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MONTILINI",
    "AuthorizedOfficialFirstName": "EMMA",
    "AuthorizedOfficialMiddleName": "VIOLA",
    "AuthorizedOfficialTitle": "FOUNDER AND CEO",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "310-642-8316",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251V00000X",
          "TaxonomyName": "Voluntary or Charitable Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QA0005X",
          "TaxonomyName": "Ambulatory Family Planning Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM1300X",
          "TaxonomyName": "Multi-Specialty Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM2500X",
          "TaxonomyName": "Medical Specialty Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QR1100X",
          "TaxonomyName": "Research Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "291U00000X",
          "TaxonomyName": "Clinical Medical Laboratory",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "314000000X",
          "TaxonomyName": "Skilled Nursing Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "281P00000X",
          "TaxonomyName": "Chronic Disease Hospital",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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