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1548784341 NPI number — PMED3

NPI Number: 1548784341
Health Care Provider/Practitioner: PMED3

Information about “1548784341” NPI (PMED3) exists in 1548784341 in HTML format HTML  |  1548784341 in plain Text format TXT  |  1548784341 in PDF (Portable Document Format) PDF  |  1548784341 in an XML format XML  formats.

NPI Number : 1548784341 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548784341",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PMED3",
    "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": "PO BOX 1329",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AZUSA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91702-1329",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "626-804-3645",
    "MailingAddressFaxNumber": "626-804-3648",
    "FirstLinePracticeLocationAddress": "426 N SAN GABRIEL AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AZUSA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91702-3451",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "626-804-3645",
    "PracticeLocationAddressFaxNumber": "626-804-3648",
    "EnumerationDate": "08/02/2017",
    "LastUpdateDate": "07/21/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SOMMER",
    "AuthorizedOfficialFirstName": "STEVE",
    "AuthorizedOfficialMiddleName": "S.",
    "AuthorizedOfficialTitle": "PRESIDENT/MEDICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD, PHD",
    "AuthorizedOfficialTelephoneNumber": "626-804-3645",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "291U00000X",
        "TaxonomyName": "Clinical Medical Laboratory",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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