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1679792766 NPI number — INTERCARE HEALTH SYSTEMS INC

NPI Number: 1679792766
Health Care Provider/Practitioner: INTERCARE HEALTH SYSTEMS INC

Information about “1679792766” NPI (INTERCARE HEALTH SYSTEMS INC) exists in 1679792766 in HTML format HTML  |  1679792766 in plain Text format TXT  |  1679792766 in PDF (Portable Document Format) PDF  |  1679792766 in an XML format XML  formats.

NPI Number : 1679792766 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679792766",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "INTERCARE HEALTH SYSTEMS INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1711 W TEMPLE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90026-5421",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "213-484-3580",
    "MailingAddressFaxNumber": "213-484-3532",
    "FirstLinePracticeLocationAddress": "1711 W TEMPLE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90026-5421",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "213-484-3580",
    "PracticeLocationAddressFaxNumber": "213-484-3532",
    "EnumerationDate": "04/25/2007",
    "LastUpdateDate": "07/28/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "THAI",
    "AuthorizedOfficialFirstName": "MAI",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR OF PHARMACY",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "213-484-3501",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "3336C0004X",
          "TaxonomyName": "Compounding Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336L0003X",
          "TaxonomyName": "Long Term Care Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336I0012X",
          "TaxonomyName": "Institutional Pharmacy",
          "LicenseNumber": "HSP43766",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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