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1548463441 NPI number — THE EPILEPSY CLINICS OF S. CAL

NPI Number: 1548463441
Health Care Provider/Practitioner: THE EPILEPSY CLINICS OF S. CAL

Information about “1548463441” NPI (THE EPILEPSY CLINICS OF S. CAL) exists in 1548463441 in HTML format HTML  |  1548463441 in plain Text format TXT  |  1548463441 in PDF (Portable Document Format) PDF  |  1548463441 in an XML format XML  formats.

NPI Number : 1548463441 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548463441",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THE EPILEPSY CLINICS OF S. CAL",
    "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": "3535 E. COAST HWY #332",
    "SecondLineMailingAddress": "ATTN MAIL ROOM",
    "MailingAddressCityName": "CORONA DEL MAR",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92625",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "949-645-5999",
    "MailingAddressFaxNumber": "949-223-4237",
    "FirstLinePracticeLocationAddress": "361 HOSPITAL RD",
    "SecondLinePracticeLocationAddress": "STE 331",
    "PracticeLocationAddressCityName": "NEWPORT BEACH",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92663",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "949-645-5999",
    "PracticeLocationAddressFaxNumber": "949-223-4237",
    "EnumerationDate": "06/07/2007",
    "LastUpdateDate": "01/03/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SWARTZ",
    "AuthorizedOfficialFirstName": "BARBARA",
    "AuthorizedOfficialMiddleName": "E.",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD, PHD",
    "AuthorizedOfficialTelephoneNumber": "949-645-5999",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2084N0400X",
          "TaxonomyName": "Neurology Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2084N0400X",
          "TaxonomyName": "Neurology Physician",
          "LicenseNumber": "G046769",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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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