NPI Code Detail JSON Logo

1710773668 NPI number — MOHAMMAD HUSSAIN PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER NURSING SERVICES CORPORATION

NPI Number: 1710773668
Health Care Provider/Practitioner: MOHAMMAD HUSSAIN PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER NURSING SERVICES CORPORATION

Information about “1710773668” NPI (MOHAMMAD HUSSAIN PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER NURSING SERVICES CORPORATION) exists in 1710773668 in HTML format HTML  |  1710773668 in plain Text format TXT  |  1710773668 in PDF (Portable Document Format) PDF  |  1710773668 in an XML format XML  formats.

NPI Number : 1710773668 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710773668",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MOHAMMAD HUSSAIN PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER NURSING SERVICES CORPORATION",
    "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": "1335 3/4 N EDGEMONT ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90027-5911",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "213-361-2636",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1335 3/4 N EDGEMONT ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90027-5911",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "213-361-2636",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/17/2025",
    "LastUpdateDate": "06/17/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HUSSAIN",
    "AuthorizedOfficialFirstName": "MOHAMMAD",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "NP",
    "AuthorizedOfficialTelephoneNumber": "213-361-2636",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X 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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