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1609146455 NPI number — OPTIMAL MEDICAL CARE INC

NPI Number: 1609146455
Health Care Provider/Practitioner: OPTIMAL MEDICAL CARE INC

Information about “1609146455” NPI (OPTIMAL MEDICAL CARE INC) exists in 1609146455 in HTML format HTML  |  1609146455 in plain Text format TXT  |  1609146455 in PDF (Portable Document Format) PDF  |  1609146455 in an XML format XML  formats.

NPI Number : 1609146455 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609146455",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "OPTIMAL MEDICAL CARE INC",
    "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": "11119 ROCKVILLE PIKE STE 316",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCKVILLE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20852-3143",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-230-8989",
    "MailingAddressFaxNumber": "301-979-7007",
    "FirstLinePracticeLocationAddress": "11119 ROCKVILLE PIKE STE 316",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROCKVILLE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20852-3143",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-230-8989",
    "PracticeLocationAddressFaxNumber": "301-979-7007",
    "EnumerationDate": "01/11/2012",
    "LastUpdateDate": "12/02/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "AZMI",
    "AuthorizedOfficialFirstName": "HOOMAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DOCTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "240-481-2369",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207R00000X",
        "TaxonomyName": "Internal Medicine Physician",
        "LicenseNumber": "D0071076",
        "LicenseNumberStateCode": "MD",
        "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."
      }
    }
  }
}
                
            

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