{
"Npi": {
"NPI": "1649369513",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ST MONICA MEDICAL",
"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": "14015 VAN NESS AVE",
"SecondLineMailingAddress": "7",
"MailingAddressCityName": "GARDENA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90249-2937",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-538-9292",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "14015 VAN NESS AVE",
"SecondLinePracticeLocationAddress": "7",
"PracticeLocationAddressCityName": "GARDENA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90249-2937",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "310-538-9292",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/11/2006",
"LastUpdateDate": "11/26/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHUKE",
"AuthorizedOfficialFirstName": "EDITH",
"AuthorizedOfficialMiddleName": "I",
"AuthorizedOfficialTitle": "MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "310-538-9292",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "332B00000X",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}